Department of Corrections s2

DEPARTMENT OF CORRECTIONS WISCONSIN Division of Management Services Wisconsin Statutes DOC-1583 (Rev. 10/02) Section 16.528 INVOICE RESOLUTION PLEASE REPLY IMMEDIATELY TO: DATE NAME PHONE ADDRESS PURCHASE ORDER NO.

INVOICE NUMBER

VENDOR INVOICE DATE DATE RECEIVED

INVOICE AMOUNT AMOUNT DISPUTED

Please provide the information requested. RETURN THIS FORM WITH YOUR RESPONSE. THANK YOU GOOD FAITH DISPUTE: Pursuant to Wisconsin Statute Section 16.528, invoices are to be paid in a timely manner unless the amount due is subject to a good faith dispute before the payment due date. The disputed amount referenced above has been placed on hold, denied, or reduced from the invoice total. The disputed amount will be processed for payment if the documentation requested below is provided. Interest for late payment shall be exempt as allowed by Section 16.528. IMPROPER INVOICE: Invoice lacks description or detail. Invoice does not match the Purchase Order. Invoice sent to the wrong billing address. Unit price is incorrect. Invoice total is incorrect. Detail on invoice does not equal invoice total. Monthly statement lacks supporting detail - original invoices are needed. Faxed or photocopied invoices are unacceptable unless the original invoice is lost. Purchase Order reference number is incorrect or missing. Sales tax is not applicable. As a state agency, DOC is exempt from payment of state, federal, and local sales taxes. DOC's Federal Employer ID No. is 39-1652221. Federal Exempt #39-73-1021-K, WI Exempt #40672. Invoices must clearly state which Division or Bureau placed the order and the contact person's name if known. Please print the information in the area below and resubmit. We have no record of receiving the invoice number(s) referenced on your statement. Please send an ORIGINAL INVOICE. Please send a REVISED INVOICE. Please send a CREDIT MEMO. Invoice previously paid: Check No. $ dated Complete and return the attached Substituted Form W-9 so that we can setup your account and process payments. OTHER: