2025 Cookie Financial Discrepancy Report

Financial Discrepancy Report - (To Be Completed by the Troop Cookie Manager)

2025 Cookie Program
Complete and return to council along with all supporting documentation no later than April 3, 2025.
Community
Troop Number*
Please enter exact troop number (e.g. 00123 not just 123)
Please attach original signed receipts as appropriate and retain copies of receipts for your records;

1. Receipts for any product ordered and/or signed for by this individual, including confirmation emails.

2. Receipts for any payments made by this individual.

The troop cookie manager must complete this form on any unpaid balances. The troop cookie manager can be held accountable for the unpaid balance unless the council receives this completed form and all required attachments by the due date.

The adult listed below will be held accountable for all money owed.
Owner of Financial Debt:
Name*
Registered GS Adult?*

YESNO
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number (Home)*
Please enter a valid phone number.
Phone Number (Work)
Please enter a valid phone number.
Phone Number (Cell)
Please enter a valid phone number.
Email*
example@example.com
Is this person a:*

Parent / GuardianOther
Other:*
Girl Scout’s Name
Explanation of Discrepancy

Outstanding Balance
Total Cookies Ordered (Packages)*
Number of Packages
Price Per Package*
Total Amount
Less Payments Received*
Balance
Reason Provided for Discrepancy (a legal incident/police report must accompany this form):*

FireFloodRobberyUnsold CookiesParent UnresponsiveOther
Other:*
Supporting Documentation is Required:
Please attach copies/documents of all written communications including phone calls, text messages and email communications, etc.*

Cancelof
Contact Information of person completing this form:*

First NameLast Name
Position*
Phone Number (Home)*
Please enter a valid phone number.
Phone Number (Work)
Please enter a valid phone number.
Phone Number (Cell)
Please enter a valid phone number.
Email*
example@example.com
Signature*

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Date*

MonthDayYear
Date
Submit this completed form along with documentation by April 3, 2025
Should be Empty:

Financial Discrepancy Report - (To Be Completed by the Troop Cookie Manager)

Explanation of Discrepancy