2024 Cookie Uncollectible Debt Form

Uncollectible Debt Form

2024 Cookie Program
The Uncollectible Debt Form (UDF) is to be used to indicate discrepancies between amount owed and amount paid.

UDF SHOULD BE COMPLETED AND TURNED IN NO LATER THAN 5 working days prior to the sweep.

Exact dates can be found in your Troop Plan Book.
Troop Number*
Service Unit*
Total amount of cookies sold by girl (in dollar amount).*
This should be a total amount of money that the girl should have paid the troop for her cookie sales.
Amount paid to troop.*
Amount that the troop has successfully collected.
Total past due.*
Amount due to troop minus amount paid to troop.
*Troops cannot keep troop profit on uncollectible debt. When/if we collect the debt, then the troop will be credited for the troop profit on uncollectible debt.
Adult Owing Debt*

First NameLast Name
Adult owing debt SSN#*
If they completed an online permission form please write "online form" and the council will look up this information.
Girl's Name*

First NameLast Name
Address of Adult Owing*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Adult Owing Phone Number*
Please enter a valid phone number.
Adult Owing Email Address*
example@example.com
Debt is being reported by.*

First NameLast Name
Your Girl Scout position.*
Your Email*
example@example.com
Your Phone Number*
Please enter a valid phone number.
Have you made 3 attempts to contact the debtor?*

YesNo
Please attach the parent/guardian permission form and signed receipts.*

Cancelof
Signature*

Clear
Should be Empty: