Complete this report when any equipment and/or supplies owned by TCESC are damaged or stolen. Submit this report to the Treasurer’s Office within 24 hours of the reported theft or damage.

Damage Description

Item that was damaged:	Approximate Value:

Describe the damage to the item:

Describe the circumstances that resulted in the damage:

Date of Damage: Time:

Room: Building: District:

Theft

Thefts of items valued at more than $250 require a police report.

Item that was stolen: Approximate Value:

Item Description:

Date the item was last seen:

Date the item was noticed missing

Location of item at time of theft:

Building: District:

Signed: ________________________________ Date:____________________________

Position: _______________________________

Revised: 1/24/03

Report of Stolen/Damaged Equipment or Supplies

Trumbull County

Educational

Service Center

Valued Gateway Client

2003-09-10

TCESC

TCESC