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Credit Memo Form
Colin Hayes
2025-11-07T13:27:20-08:00
MEMO
(ExpNet Internal)
Use for Credit / Write-Off / Discount / Refund requests and routing.
Form v1.0
Account & Case
Issued By
*
Dept
*
Client Name
*
Acct Code
*
Invoice #
*
QC #
*
Date Issued
*
Amount
*
Transaction Type
Credit
Debit
Write-off
Discount
Refund
Payable To (if Refund)
Description
Service Error
Billing Error
Courtesy Discount
Discount per Agreement
Pro Bono Discount
Re-Bill
Voided Fee
Other
Comments
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