Note: Form must be completed in Excel. Handwritten forms not accepted.

FROM:

Location Code:

HOTEL:

Date:

Account Name, Address, Telephone #, and

contact name

Write-off Amount

Write-Off Type Select

from Dropdown

Date of original
charge(s)

Remarks/Disposition - Items submitted for write-off must be supported

with source documents.

Program Note

Approval Signatures

Date

8
Total Write Off

0.00

Revenue and Tax Breakdown

Dir. of Accounting
Room Revenue

Food Revenue
Beverage Revenue

$
$

General Manager

Phone / Movie Revenue

All Other Miscellaneous Revenue
Sales Tax
Total here (must match W/O Total)

$
$
$
$

VP of Operations

OK - Totals Match

VP of Finance

Corporate Credit & Collections

Required if total write-off exceeds $10,000

Action Taken

Above balance(s) written off by

Account(s) closed by
Exception: Account(s) kept active. GM signature required.

Date

Approval required