Step 1 of 812%Organisation Name*Name of person completing the form* First Last Position*Email*PhoneWork base address* Street Address Address Line 2 City County Postcode NextWas the equipment lost or stolen?*LostStolenAddress/location at which items lost or stolen* Street Address Address Line 2 City County Postcode Type of equipment/device*LaptopMobile PhoneTabletPCOtherIf other type of equipment please give details*Make*Manufacturer of deviceModel*Model number and or name of deviceSerial numberAsset numbere.g. PC Number if DCC PC or Laptop Previous NextName of person to which device was assigned* First Last Describe any personal data held on the equipment*information about individualsDescribe any other type of information that was on the device*e.g. business information Previous NextProvide a description of the incident*Who was in the building at the time of the incident?* Previous NextDate equipment was last seen/used* DD MM YYYYTime equipment was last seen/used* : HH MM AMPM Approximate value of item*Names of any witnessesIf anyone saw anything suspicious on that day or previous day, give details Previous NextHow did the thief gain access to the equipment?*Give details of any evidence of a break-in or damage to other equipment?*Was anything else relating to the equipment stolen?* e.g. manuals, carry case Previous NextPlease give full details of security controls in operation at time of theft or loss*Please give full details of security controls in situ, but not in operation at time of theft or loss*Has the site been secured?YesNoWhat is needed to secure the site?*e.g. Replace glass, change locks, change passwords?Roughly, what is the expected cost of clearing up and securing the site?*What action could be taken to prevent re-occurrence?* Previous NextHave the police been informed?*YesNoDate Police Notified* DD MM YYYYBy whom?*Police station at which theft reported*Name of police officer handling the case* First Last Crime reference number*Are the police going to visit?*Date form completed* DD MM YYYYConsent* I agree to the privacy notice.CAPTCHAPrevious Submit Audit Together Your name* First Your email* Security checkNameThis field is for validation purposes and should be left unchanged. Submit This iframe contains the logic required to handle Ajax powered Gravity Forms.