2022 Torrid Loss Prevention Internal Investigation Form

• Case #

• Investigation Date

  Date

• Store #

• Conducted by:

  Select Blue Montez Larry Tusing Susan Seiffert Joseph Munoz Shannon Nichols James Kolton

  • Blue Montez
  • Larry Tusing
  • Susan Seiffert
  • Joseph Munoz
  • Shannon Nichols
  • James Kolton

• Case #

• Date of Interview

• Select Month:

  Select January February March April May June July August September October November

  • January
  • February
  • March
  • April
  • May
  • June
  • July
  • August
  • September
  • October
  • November

• Region:

  Select 20 21 22 23 OHDC

  • 20
  • 21
  • 22
  • 23
  • OHDC

• District:

  Select 202 207 208 210 213 218 219 229 230 233 240

  • 202
  • 207
  • 208
  • 210
  • 213
  • 218
  • 219
  • 229
  • 230
  • 233
  • 240

• District:

  Select 204 206 215 216 220 223 227 232 234 235 241 242

  • 204
  • 206
  • 215
  • 216
  • 220
  • 223
  • 227
  • 232
  • 234
  • 235
  • 241
  • 242

• District:

  Select 201 203 214 217 221 228 231 238 239 243 244 246 290 291 Area 2901

  • 201
  • 203
  • 214
  • 217
  • 221
  • 228
  • 231
  • 238
  • 239
  • 243
  • 244
  • 246
  • 290
  • 291
  • Area 2901

• District:

  Select 205 209 211 212 222 224 225 226 236 237 245 247

  • 205
  • 209
  • 211
  • 212
  • 222
  • 224
  • 225
  • 226
  • 236
  • 237
  • 245
  • 247

• Location:

  Yes

  No

  N/A

• Interviewed By:

  Select Blue Montez Larry Tusing Susan Seiffert Joseph Munoz Shannon Nichols James Kolton

  • Blue Montez
  • Larry Tusing
  • Susan Seiffert
  • Joseph Munoz
  • Shannon Nichols
  • James Kolton

• Employee Statement Received?

  Yes

  No

  N/A

• Human Resources Notified?

  Yes

  No

  N/A

• Referred for Prosecution?

  Yes

  No

  N/A

• Case Type:

  Select Merchandise Theft Refund Fraud

  • Merchandise Theft
  • Refund Fraud

• Police report #

• Source of Case

  Select Aspect Internal Tip Other RLPM Investigation

  • Aspect
  • Internal Tip
  • Other
  • RLPM Investigation

• List other case source:

• Admission $

• Is this a split admission?

  Yes

  No

  N/A

• List admission type and dollar amount:

• Witness to the Interview?

  Yes

  No

  N/A

• Full Name of Witness:

• Witness Position:

Type of Incident

• Incident Type?

  Select Insider Fraud Deposit or Cash Theft Merchandise Theft Refund Fraud Policy Violation Unauthorized Discount Other

  • Insider Fraud
  • Deposit or Cash Theft
  • Merchandise Theft
  • Refund Fraud
  • Policy Violation
  • Unauthorized Discount
  • Other

• Other Type:

• Select Policy Violation Type:

  Select Falsifying Information Password sharing Ringing own transaction Bag check violation Failure to cooperate with an investigation Negative associate engagement

  • Falsifying Information
  • Password sharing
  • Ringing own transaction
  • Bag check violation
  • Failure to cooperate with an investigation
  • Negative associate engagement

• Employee Name:

• Employee ID #

• Employee Date of Birth

• Age of employee:

• Employee Position:

  Select Sales Associate Key Holder Assistant Manager- PT Assistant Manager- FT Store Manager District Manager DC Associate

  • Sales Associate
  • Key Holder
  • Assistant Manager- PT
  • Assistant Manager- FT
  • Store Manager
  • District Manager
  • DC Associate

• Date of Hire

  Date

• Employee Years of Service:

• Employment Disposition:

  Select Terminated Resigned Corrective Action Final Warning Corrective Action Other

  • Terminated
  • Resigned
  • Corrective Action
  • Final Warning Corrective Action
  • Other

• Other Reason:

• Date of Disposition:

  Date

Investigation Narrative:

• Narrative:

Internal Case Statistics:

• Age Group:

  Select 18 yrs - 25 yrs 26 yrs - 35 yrs 36 yrs - 45 yrs 50 yrs and above

  • 18 yrs - 25 yrs
  • 26 yrs - 35 yrs
  • 36 yrs - 45 yrs
  • 50 yrs and above

• Tenure:

  Select 0 - 3 months 3 months - 6 months 7 months - 10 months 11 months - 12 months Above 12 months

  • 0 - 3 months
  • 3 months - 6 months
  • 7 months - 10 months
  • 11 months - 12 months
  • Above 12 months

• Motive:

  Select Opportunity presented itself Coerced by someone else "peer pressure" Uncontrolled substance abuse Pay bills and other living expenses Medical assistance/condition Re-sale locally or through online avenues Personnel use Upset with pay increase, no promotion or manager Customer service Help Others- family/friends

  • Opportunity presented itself
  • Coerced by someone else "peer pressure"
  • Uncontrolled substance abuse
  • Pay bills and other living expenses
  • Medical assistance/condition
  • Re-sale locally or through online avenues
  • Personnel use
  • Upset with pay increase, no promotion or manager
  • Customer service
  • Help Others- family/friends

RLPM/ Investigator Full Name and Signature

• RLPM/ Investigator Name

  Sign

• Date & Time:

  Date