2024 Fall Product Theft Form

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The Product Theft form must be completed when a parent/caregiver fails to submit the entire amount due for products received during a product program. If a parent/caregiver does not pay the troop for products received, the troop must complete this form so the troop will be released of the financial responsibility of a product theft from a parent/caregiver for the current product program. If the troop fails to 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 product theft. One product theft form must be completed and submitted for each girl who has any amount unpaid.

Troop number*

Service unit number*

Parent/Caregiver name*

First NameLast Name

Girl's name*

First NameLast Name

The following fields should be completed with contact information and details for the caregiver 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 Fall Product or Cookies, copies of signed receipts for any payments received, police report (theft-related debt), and /or insurance claim (theft-related debt). If you are missing any of the required information, you must submit what you have by the deadline, and contact Troop Banking to turn in any additional late documents.*

Browse Files

Debt-related amounts*

	Amount
Total Product Received
Total Amount Due
Amount Paid
Amount Outstanding

Three contact attempts are encouraged. It is recommended the contact attempts be made at different times to maximize the chances of making 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 of contact, 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 provided 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.

Product Theft Form

Information on Form Submitter