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) &
to Property Accountant (275 Administration Building).

University Property Personal Property

Was item secured under lock? Yes No Unknown

Name/Description of Item:



Manufacturer
Model
Serial Number
University Decal Number
Approximate Value
Original Cost
Type
Manual Electric
Date Discovered Missing

Place Missing From
Place Item Normally Kept or Stored


Account of Circumstances of Loss:



Changes Made to Prevent Similar Losses




Other Remarks

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