Property Loss Report
Department Date
Completed by Date
Theft
Vandalism
Burglary
Tools and Equipment
Fire/Arson
Accident—Damage
Unexplained
_ _ _
Other:
_
_
Date and time loss occurred _
Date and time loss reported _
Police report made
List police department contacts and notes
Besides the property loss, were there any other consequences of the loss?
Could this loss have been avoided? Yes No
If yes, how? _
Other comments, notes:
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