CASS COUNTY FRIEND OF THE COURT
AUDIT REQUEST
YOUR NAME_____________________________ CASE #_________________
ADDRESS_________________________________________________________
1) SPECIFIC REASON FOR THIS REQUEST
2) SPECIFIC TIME FRAME TO BE AUDITED
FROM DATE______________________ TO DATE_________________
3) DOLLAR AMOUNT IN DISPUTE ______________________________
IMPORTANT
AUDIT REQUEST MUST HAVE PRINTOUT ATTACHED WITH AREAS OF
DISPUTE MARKED. FAILURE TO GIVE SPECIFIC INFORMATION WILL
RESULT IN DELAY. YOUR COOPERATION IS APPRECIATED.
DATE_________________ AUDIT REQUESTER______________________
AUDIT WILL BE MAILED TO YOU WHEN COMPLETED
FOR FOC USE ONLY
DATE RECEIVED_______________________
DATE AUDIT COMPLETED_______________________
STAFF MEMBER_____________________