Information

  • Interview Date

  • Employee / Person Full Name / Store Code / Location Name

  • Prepared by

AMERICAN APPAREL - THEFT INCIDENT REPORT

GENERAL INFORMATION

  • Incident Case #

  • Name of Investigator Completing Theft Incident Report

  • Investigator E-Mail and Telephone Number

  • Date and Start Time of Interview

  • Date and End Time of Interview

  • Store Code and Location Name

  • Name of Manager on Duty

  • Incident Type

  • Case $ Value (based on admission)

  • Internal Case Generated By

  • Video Available?

  • Date and Time of Video (if applicable)

  • Disposition of Investigation

  • Date and Time Police Contacted

  • Date and Time Police Took Employee into Custody

  • Name and Telephone Number of Police Agency Contacted

  • Officer Name and Badge Number

  • Employee Booked

  • Police Agency Case Number (if applicable)

EMPLOYEE INFORMATION

  • Employee Full Name (as it appears on file)

  • Street Address (include APT number, if applicable)

  • City and State

  • Zip Code

  • Residence Telephone Number (N/A if not available)

  • Mobile Number (N/A if not available)

  • State Identification Number (N/A if not available)

  • Adult or Minor

  • Was the parent of the minor contacted

  • First & Last Name of Parent Contacted

  • Employee ID Number

  • Employment Status

  • Hire Date

  • Position

INCIDENT REPORT (document details of the incident and interview with employee)

  • Incident Report part 1

  • Incident Report part 2

  • First & Last Name of Witness (if applicable)

  • Witness Employee ID #

  • Witness Job Title

  • Witness E-mail and Telephone Number

  • Witness Statement part 1

  • Witness Statement part 2

  • Employees Involved (if applicable)

  • Property List (list any items by their style code for merchandise theft cases)

  • List Style Code and Description, Quantity and Retail Price

  • List Style Code and Description, Quantity and Retail Price

  • List Style Code and Description, Quantity and Retail Price

  • List Style Code and Description, Quantity and Retail Price

  • List Style Code and Description, Quantity and Retail Price

  • List Style Code and Description, Quantity and Retail Price

  • List Style Code and Description, Quantity and Retail Price

  • List Style Code and Description, Quantity and Retail Price

  • List Style Code and Description, Quantity and Retail Price

  • List Style Code and Description, Quantity and Retail Price

  • Employee Statement (upload statement here)

  • Promissory Note Signed (if applicable)

  • Promissory Note (upload document here)

  • Investigation Notes / Evidence (upload document(s) here)

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.