Loss Prevention Internal Investigation Form V2

TORRID INTERNAL INVESTIGATION FORM

• Case # (RLPM Initials - Store # - Month - Year)

• Store Number

• Date of Interview

  Date

• Region

  R20

  R21

  R22

  R23

• Employee Statement Received?

  Yes

  No

  N/A

• Promissory Note Received?

  Yes

  No

  N/A

• Civil Demand Issued?

  Yes

  No

  N/A

• Human Resources Notified?

  Yes

  No

  N/A

• Referred for Prosecution?

  Yes

  No

  N/A

• Law Enforcement Case #

• Law Enforcement Agency/Precinct

• Source of Case

  Aspect

  Internal Tip

  Other

• Admission $

• Witness to the Interview?

  Yes

  No

  N/A

• Full Name of Witness

• Witness Position

Type of Incident

• Select Merchandise Theft Refund Fraud Unauthorized Discount Unauthorized Insider Account Cash Theft Deposit Theft Void Fraud TCC Fraud Credit Card Fraud Paid Out Abuse Inventory Manipulation Expense Fraud Policy Other

  • Merchandise Theft
  • Refund Fraud
  • Unauthorized Discount
  • Unauthorized Insider Account
  • Cash Theft
  • Deposit Theft
  • Void Fraud
  • TCC Fraud
  • Credit Card Fraud
  • Paid Out Abuse
  • Inventory Manipulation
  • Expense Fraud
  • Policy
  • Other

Employee Information

• Full Name

• Employee ID #

• Employee Position

• Date of Hire

• Employee Years of Service

• Employee D.O.B.

• Employee Disposition

  Terminated

  Resigned

  Final Written Warning

  Pending

• Date of Disposition

  Date

Investigation Narrative

• RLPM/Investigator Full Name and Signature

  Sign

• Investigation Narrative Completion Date and Time

  Date