2026 Cookie Theft Form

We recommend using Chrome or Internet Explorer web browsers to complete this form. Some volunteers have experienced issues with Firefox.

The CookieTheft form is to be completed when a parent/caregiver fails to submit the entire amount due for cookies received during a product program. If a parent/caregiver does not pay the troop for cookies received, the troop must complete this form so the troop will be released of the financial responsibility of a cookie theft from a parent/caregiver for the current cookie program. If the troop does not complete and return this form, it is assumed the theft is owed by the troop and the troop volunteer will be held liable for the cookie theft. One cookie theft form must be completed for each girl who has any amount unpaid. The deadline to submit for the 2024-2025 Cookie Program is March 24th at 11:59PM.

Troop number*

Service unit number*

Parent/guardian name*

First NameLast Name

Girl's name*

First NameLast Name

The following fields should be completed with contact information and details for the parent or carergiver who signed the Parent Agreement form.

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Phone number*

Area CodePhone Number

Email*

example@example.com

Employer

Work number

Area CodePhone Number

Driver's license number*

Driver's license state*

Please submit the following required documentation with this form: Parent Agreement form, copies of signed receipts for dispersed Cookies, copies of signed receipts of any payments received, and any additional related information. If you are missing any of this information, submit what you have to info@girlscoutcsa.org ASAP.*

Browse Files

Debt-related amounts*

	Amount
Total Amount Due
Amount Paid
Amount Outstanding

Three contact attempts are required. It is recommended that these contact attempts be done at different times in order to maximize the chances of contact. Contact can be verbal (in person or phone) or written (letter, text, or email). Provide the name of the individual who made the call/contact, person contacted, date, response, and comments.

Contact attempt one

Contact attempt two

Contact attempt three

Form completed by*

First NameLast Name

Volunteer position*

Phone Number*

Area CodePhone Number

Volunteer's Email*

example@example.com

Note: This form is invalid without required documentation or if not received by the deadline stated in the Product Program Guide. Lack of required documentation could result in a shift of financial responsibility to the troop volunteer.

When you click Submit, you should be taken to a new page with a confirmation message that your form was submitted successfully. You will also receive a confirmation email. Check your spam/junk mail for this confirmation.

Cookie Theft Form

Information on Form Submitter