UNIVERSITY OF VIRGINIA
FINANCIAL AND ADMINISTRATIVE PROCEDURES MANUAL
TITLE: COMPLETING ACCOUNTS RECEIVABLE PROCEDURE: 5-4
ADJUSTMENT FORM (UT-266)
Policy Reference: V.B.2
Form: Accounts Receivable Adjustment Form
(UT-266)
Obtain Blank Forms From: Fiscal Administrators, page 4.7.2-
4.7.3. Make copies as needed.
Forward Completed Forms To: Original to: Accounts Receivable
Section, Bursar's Office,
Carruthers Hall
(Retain a departmental reference
copy.)
Purpose
To reduce, increase, eliminate, or change referrals previously
referred to the Bursar's Office for collection.
NOTE: Please print or type the form legibly.
Instructions
1. Enter the identification number of the account to be
adjusted.
2. Enter the subcode used on the original referral.
3. Enter the amount to be adjusted.
4. Enter either a "D" to Debit or increase the charge or a "C"
to Credit or decrease the charge.
5. Enter the memo subcode for the adjustment. This subcode is
always "39995".
6. Enter the reason for the adjustment.
ISSUED BY: 04/03/89
University Bursar