NATIONAL ADVOCATE ASSOCIATION

ACCOUNT ADJUSTMENT AUTHORIZATION

Client Name Matter Name Client/Matter No.(s) Invoice No.(s)

Hours to be Fees to be written Costs to be written

written off off off
Timekeeper # of WIP Fee Amount: $ WIP Costs: $
ID Hours
A/R Fee Amount: $ A/R Costs: $
Total Write-off $ Total Write-off $
Amount: Amount:
Total Fees $ Total Costs $
Outstanding: Outstanding:
Total Total Fees Paid to $ Total Costs Paid to $
Hours: Date: Date:

Reason for Write-

off:

Billing Name and Signature:

Authorizing Name and

Signature:1
 NATIONAL ADVOCATE ASSOCIATION