Tenant Chargeback
Section 1
Date
*
-
Month
-
Day
Year
Date
Paper Street Employee Name
*
First Name
Last Name
Paper Street Employee Email
*
example@example.com
Property Address
*
Street Address
Unit Number (if applicable)
City
State / Province
Postal / Zip Code
Tenant Name
*
First Name
Last Name
Tenant Email (if available)
If this field is filled, the tenant will receive a copy of this form upon completion by the accounting team.
Work Order #
*
Description of Work Order
*
Please describe in detail why the tenant should be charged back.
*
Is the tenant responsible for all charges or partial charges related to this work order?
*
All costs should be charged back to the tenant.
Only part of the cost should be charged back to the tenant.
If only part of the cost should be charged back, please indicate the percentage of total cost that should be charged back to the tenant?
Please use round numbers like 75%, 60%, etc.
Has tenant been advised of the chargeback?
*
Yes
No
Upload any supporting evidence.
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Cancel
of
Paper Street Employee Signature
*
Submit
Section 2
For accounting use only.
Name of Accounting Team Member Calculating Charges
*
First Name
Last Name
Email of Accounting Team Member Calculating Charges
*
example@example.com
Please enter the total billable labor charges related to this work order.
*
Total billable material charges related to this work order.
*
Based on the totals above and the percentage amount of tenant responsibility indicated in Section 1, please enter the total amount to be charged back to the tenant.
*
Notes:
Signature
Submit
Section 3
For accounting use only.
Name of Accounting Team Member Entering Charges on Ledger
*
First Name
Last Name
Email of Accounting Team Member Entering Charges on Ledger
*
example@example.com
Have all eligible charges been entered on the tenant's ledger?
*
Yes
No
What was the total charge amount added to the tenant's ledger?
*
On what date was this charge added?
*
-
Month
-
Day
Year
Date
Notes:
Signature
*
Submit
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