Report a theft or loss - Devon Audit Partnership

Organisation name*

Please note, this form is intended for use by our client organisations to report a theft or loss. Any theft loss should also be reported as per the client organisations procedures.

Name of person completing the form*

Full name

Position*

Email address*

Phone*

Work base address*

Street Address Address Line 2 City County Postcode

Was the item lost or stolen?*

Address/location of items lost or stolen*

Street Address Address Line 2 City County Postcode

What was lost or stolen?*

Please provide a brief description of the item(s).

Description of the incident*

Who was in the building or present at the time of the incident?*

Name of person responsible for the item (or whom the item was issued)*

Full name

Date item was last seen/used*

Time item was last seen/used*

:

Approximate value of item*

Names of any witnesses

Did anyone see anything suspicious on that day or previous day, please provide details

How did the thief gain access to the equipment?*

Provide details of any evidence of a break-in or damage to other equipment?*

Please give full details of security controls in operation at time of loss or theft*

Please give full details of security controls in situ, but not in operation at time of loss or theft*

Has the site been secured?

Yes

No

What is needed to secure the site?*

e.g. Replace glass, change locks, change passwords?

Approximate cost of clearing up and securing the site?*

What action could be taken to prevent re-occurrence?*

Have the police been informed?*

Date Police Notified*

By whom?*

Police station at which theft reported*

Name of Police Officer handling the case

Please include the Officers "Shoulder Number" if known.

Full name

Police contact number*

Crime Reference Number*

Are the police going to visit the site?*

Date form completed*

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Email

This field is for validation purposes and should be left unchanged.