This report is designed to assist you in prompt accurate reporting of MVNU or personal missing property.
Please answer the following questions and fill in the necessary blanks to complete the report.

Your Name ID#

E-mail Ext#

STUDENT

Resident Hall

RD

FACULTY / STAFF

Building

Department

Supervisor

Please ask yourself the following questions about your missing item(s) before you continue:

• Did you loan the missing item(s) and forget that you did?
• Did someone (e.g. roommate) borrow missing item(s) and forget to tell you?
• Did you ask other people in your residence/department about missing item(s)?
• Did you retrace where you saw or had missing item(s) last?

PLEASE PROCEED IF YOU BELIEVE THIS IS A THEFT ISSUE

THEFT REPORT

Day / Date of theft Time of theft

Location of theft (please be specific)

Please fill out all boxes that apply and provide complete information:

• To whom did you report the theft?
• Did you report this to your RD/Supervisor? Date reported

• Did you call Security? Date reported

• Do you have a witness? Please fill in name, address and phone or extension number:

• List item(s) that are claimed to be stolen. Include any serial numbers if available; determine a value.

• How many people knew you had the item(s)?
• How many people knew where the item(s) was (were) located?
• Do you wish to discuss this with Security? Yes No
• If you answered "yes," when would be a good day: time :?

Please give additional helpful information regarding the stolen item(s):

This incident will be investigated by Safety and Security. You may be contacted for an interview. If you have additional information after completing this report, please contact the Safety and Security office at ext. 4460 or 4000 or by email to the secretary at security@mvnu.edu