Title Page
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Document Number
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Location
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Reported on
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Completed by
Section 1. Details of loser
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Name
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Department
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Address
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Telephone Number
Section 2. Description
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Full description of lost property. (include make, colour, size, shape, serial number and any distinguishing marks by which it could be identified. If money, how much and how its made up)
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Describe lost property
Section 3. Date, time and place when property last known to be in loser's possession
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Date
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Time
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Place
Section 4. Date, time and place when loss was discovered
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Date
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Time
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Place
Section 5. Further information
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Any further information that may assist in recovery of the lost property
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Detail
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Signature of loser
Section 6. Action Taken
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Was action taken to search for lost property
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Why
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Who
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When
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Where was searched
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was property found
Section 7. Remarks
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Remarks
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Copy to
- Loser
- Security File
- Building / site Manager
- Police
- Facilities Manager
- N/A
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What file and what reference number
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Signature on Completion