The University of Memphis
Report of Lost or Stolen Property
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:

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

Location Missing From

Org Code

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______________