Ar Write Off Request Form Page 2

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Use this page only to add WO requests not identified on page one:
RE __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ ___________________
Dept
20 Character Document Number
Line# $ Amount to Write Off
WO__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ ___________________
Dept
20 Character Document Number
Line# $ WO Line amount
RE __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ ___________________
Dept
20 Character Document Number
Line# $ Amount to Write Off
WO__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ ___________________
Dept
20 Character Document Number
Line# $ WO Line amount
RE __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ ___________________
Dept
20 Character Document Number
Line# $ Amount to Write Off
WO__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ ___________________
Dept
20 Character Document Number
Line# $ WO Line amount
RE __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ ___________________
Dept
20 Character Document Number
Line# $ Amount to Write Off
WO__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ ___________________
Dept
20 Character Document Number
Line# $ WO Line amount
RE __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ ___________________
Dept
20 Character Document Number
Line# $ Amount to Write Off
WO__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ ___________________
Dept
20 Character Document Number
Line# $ WO Line amount
RE __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ ___________________
Dept
20 Character Document Number
Line# $ Amount to Write Off
WO__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ ___________________
Dept
20 Character Document Number
Line# $ WO Line amount
AR Write-Off Request Form – ver2.3 rev. 04.20.16

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