Property Management Equipment Loss Report

Property Management

Equipment Loss Report

Required to document any lost, stolen, or destroyed inventoried property.

Questions? Please contact Mark Harlin, Property Management Specialist, Mark.Harlin@sonoma.edu or visit the Property Management website.

Department Name*

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SSU Divsion*

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School*

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Report Submitted By:*

Email Address

Loss Discovered by?:*

Was a Police Report Filed?*

Note: You must report theft or suspected theft of property to nearest law enforcement agency (on or off campus). Per SAM 8643

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Report Number

In no, please explain:

Level 1 Data on Lost Item? *

If the lost item was a computer, PDA, or storage device, did it contain any Level 1 Data?

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If yes, please provide ISO Case Number:

If yes, you MUST contact SSU's Information Security Office and Provide ISO Case Number here:

Did the loss occur off campus?

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Equipment checked out to:

Date Equipment Check Out:

Address of Incident:

Items discovered missing during Annual Inventory?*

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Were rooms/cabinets locked?

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Was equipment cabled down?

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In no, please explain:

Summarize details relating to this loss:*

Please include date of incident, location, building name, room number:

Precautions now in effect to prevent loss?*

List stolen Item: Tag No., Descr, Serial 1*

If tag number is not available in the drop down list, please contact Mark Harlin, Mark.Harlin@sonoma.edu

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List stolen Item: Tag No., Descr, Serial 2

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List stolen Item: Tag No., Descr, Serial 3

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Property Manager Email*

Review the Current Property Manager List Here

Division Vice President email*

File Upload

Use attachment for additional items or summary.

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