The University of Memphis
Report of Lost or Stolen Property
Click here for online help.
Send form to University Police (100 Zach Curlin Parking Garage).

Was item secured under lock? Yes No Unknown

Was a police report filed? Yes No
If Yes, which department? Case number?


Name/Description of Item:



Make
Model
Serial Number
Department
University Decal Number
Approximate Value
Original Cost
Select One
Lost Stolen Damaged
Surplused Cannibalized Unknown
Date Discovered Missing

Location Missing From

Org Code
Index


Account of Circumstances of Loss:




Other Remarks





Lost or Stolen University Property Policy

Signature of Person Preparing Report____________________________ Date______________
Signature of Department/Activity Head___________________________ Date______________
Signature of Dean____________________________________________ Date______________