NATIONAL ADVOCATE ASSOCIATION

ACCOUNT ADJUSTMENT AUTHORIZATION Client Name Matter Name Client/Matter No.(s) Invoice No.(s)

Hours to be written off Timekeeper # of ID Hours

Fees to be written off WIP Fee Amount: A/R Fee Amount: Total Write-off Amount: Total Fees Outstanding: Total Fees Paid to Date:

$ $ $ $ $

Costs to be written off WIP Costs: A/R Costs: Total Write-off Amount: Total Costs Outstanding: Total Costs Paid to Date:

$ $ $ $ $

Total Hours:

Reason for Writeoff:

Billing Name and Signature: Authorizing Name and Signature:1

NATIONAL ADVOCATE ASSOCIATION

1