2024 Fall Product Uncollectible Debt Form

Uncollectible Debt Form

2024 Fall Product Program
The Uncollectible Debt Form is to be used to indicate discrepancies between amount owed and amount paid.

FILL OUT AND TURN IN NO LATER THAN DECEMBER 11th IN ORDER FOR AMOUNT TO BE DEDUCTED FROM TROOP BANK ACCOUNT SWEEP OF FUNDS.

If you have problems or issues after December 12th, you must contact your Service Unit Fall Product Manager for guidance.

Instructions for Troop Product Manager

If you are completing an Uncollectible Form on a parent/guardian:

1. Complete all information on this form. Questions? Contact Carolyn McNerney at 800-475-2621, option 2, ext. 1312 or email cmcnerney@gswrc.org.

2. Must attach Parent Permission Form and signed Receipt(s).
Total Nut/Candy Sold by Girl (in dollar amount)*
Total Amount Due to Troop*
Total Amount Paid to Troop*
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.
Service Unit*
Troop Number*
Seller (girl's name)*
Adult Owing Debt*
SS# or DL# of Adult Owing Debt*
If they completed an online permission form please write "online form" and the council will look up this information.
Address of Adult Owing Debt*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number of Adult Owing Debt*
Please enter a valid phone number.
Email Address of Adult Owing Debt
example@example.com
Debt is being reported by*
Your name
Your Girl Scout Position*
Your Phone Number*
Please enter a valid phone number.
Please attach the parent/guardian permission form and signed receipts.*

Cancelof
Signature*

Clear
Should be Empty: