Problem Report
Submit this form for all outstanding debts. Individual debtors are accountable for all money owed to the troop and council. You may be asked to provide copies of all product pick-up forms, money collection receipts, along with any available correspondences email or written as documentation.
Type of debt
*
Troop
Council
Troop Number
*
Troop Leader Name
*
First Name
Last Name
Troop Leader Phone Number
*
-
Area Code
Phone Number
Troop Cookie Manager Name
*
First Name
Last Name
TCM Phone Number
*
-
Area Code
Phone Number
Name of Girl Scout
*
First Name
Last Name
Name of Parent
*
First Name
Last Name
Parent Phone Number
*
-
Area Code
Phone Number
Parent Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Number of boxes received
*
Number of boxes unsold
Total Due
*
Total Paid
*
Amount Due to Troop
*
Amount Due to Council
*
Date Contacted Parent
*
-
Month
-
Day
Year
Date
How did you contact parent? (Check all the apply)
*
Live Phone Call
Voicemail
Text
Email
Other
Was there an agreed upon arrangement?
*
Yes
No
If yes, please include agreement information :
Additional Comments or Notes
Attach a photo of inventory or deposit slips
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