Request for Write-off (debt declared irrecoverable)

Worksheet #
(F&BS use only)

Request for writeoff2.rtf

F&BS 16/03/2011

Finance & Business Services, Building 10C

debtors@anu.edu.au Enquiries:  (02)  6125 8723
Facsimile:  (02)  6125 8797

			
Customer ID		Customer Name	
Invoice No to be written-off		Amount	
Date		Staff  or Student (Please circle if applicable)	

Action Taken To Date: (Please circle)	
Dunning Letters (Letters of demand):	YES / NO	Telephone Calls:	YES / NO	
Debt Collection Agency (If No specify reason below):	YES / NO	
Other (Specify):		
Detailed Reason for Write-off
(attach details if space insufficient)				

F&BS Comments

Authorisation (Budget Unit))	

 	Uni ID

Name	Title 		

Budget Unit	Phone		

Reviewed and Recommended for Write Off FinOps (F&BS)	
 		Uni ID 	 Name	Title 			
Authorisation (Delegated Officer) go to Delegations 000242 (4.17)
debtors	
 		Uni ID 	 Name	Title 			
To check delegations please see http://info.anu.edu.au/ovc/assets/Delegations/By_Category/04fin.pdf (Delegation 000242 (4.17)

Please attach any supporting documentation to this form and forward to Financial Operations, Finance & Business Services Division, 10C