Information
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Interview Date
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Employee / Person Full Name / Store Code / Location Name
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Prepared by
AMERICAN APPAREL - THEFT INCIDENT REPORT
GENERAL INFORMATION
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Incident Case #
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Name of Investigator Completing Theft Incident Report
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Investigator E-Mail and Telephone Number
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Date and Start Time of Interview
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Date and End Time of Interview
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Store Code and Location Name
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Name of Manager on Duty
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Incident Type
- Merchandise Theft
- Register Cash Theft
- Deposit Cash Theft
- Unauthorized Discounts
- Fraudulent Returns
- Unauthorized Commissions
- Time Card Manipulation
- Falsify Expense Report
- Inappropriate Use of Petty Cash
- Allowance Violation
- On-Line Sale Through Merchandise Theft
- Sale to Used Clothing Store Through Merchandise Theft
- Other (operational)
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Case $ Value (based on admission)
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Internal Case Generated By
- Exception Report
- Covert Camera
- Video Surveillance
- Tip by Asset Protection Investigator
- Tip by Management
- Tip by Employee
- Audit
- Store Visit
- Rollover from Ongoing Investigation
- Anonymous Tip
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Video Available?
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Date and Time of Video (if applicable)
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Disposition of Investigation
- Booked by Law Enforcement
- Terminated
- Suspended Pending HR Review
- Return to Work
- Employee Resigned
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Date and Time Police Contacted
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Date and Time Police Took Employee into Custody
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Name and Telephone Number of Police Agency Contacted
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Officer Name and Badge Number
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Employee Booked
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Police Agency Case Number (if applicable)
EMPLOYEE INFORMATION
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Employee Full Name (as it appears on file)
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Street Address (include APT number, if applicable)
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City and State
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Zip Code
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Residence Telephone Number (N/A if not available)
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Mobile Number (N/A if not available)
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State Identification Number (N/A if not available)
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Adult or Minor
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Was the parent of the minor contacted
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First & Last Name of Parent Contacted
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Employee ID Number
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Employment Status
- Full Time
- Part Time
- Seasonal
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Hire Date
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Position
- Store Manager
- Assistant Manager
- Key Holder
- Cashier
- Sales Person
- Back Stock / Inventory Control
- District Sales Manager
- District Back Stock / Inventory Control
- Merchandiser
- Factory Employee
- Maintenance
- Fresh Air
- Janitor
- Sewing
- Packing
- Shipping
- Cutting
- temp
INCIDENT REPORT (document details of the incident and interview with employee)
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Incident Report part 1
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Incident Report part 2
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First & Last Name of Witness (if applicable)
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Witness Employee ID #
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Witness Job Title
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Witness E-mail and Telephone Number
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Witness Statement part 1
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Witness Statement part 2
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Employees Involved (if applicable)
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Property List (list any items by their style code for merchandise theft cases)
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List Style Code and Description, Quantity and Retail Price
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List Style Code and Description, Quantity and Retail Price
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List Style Code and Description, Quantity and Retail Price
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List Style Code and Description, Quantity and Retail Price
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List Style Code and Description, Quantity and Retail Price
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List Style Code and Description, Quantity and Retail Price
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List Style Code and Description, Quantity and Retail Price
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List Style Code and Description, Quantity and Retail Price
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List Style Code and Description, Quantity and Retail Price
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List Style Code and Description, Quantity and Retail Price
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Employee Statement (upload statement here)
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Promissory Note Signed (if applicable)
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Promissory Note (upload document here)
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Investigation Notes / Evidence (upload document(s) here)