Lost Property Report

Demographics and Contact Information
Where was the property lost?*
Type in name or physical address. If location is off-campus, you must contact the agency responsible for the jurisdiction in where property was lost.
I am a*
Name*
First Last
Date of Birth*
MM
DD
YYYY
Race*
Ethnicity*
Gender*
Phone*
CSU ID#
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Driver License #
Driver License State

Time Window
An accurate time window assists our department in tracking patterns. Please be as accurate as possible.
Date Property Last Seen*
Date Format: MM slash DD slash YYYY
Time Property Last Seen*

: HH

MM
Date Noticed Missing*
Date Format: MM slash DD slash YYYY
Time Noticed Missing*

: HH

MM
Property Information
Property Description*
Enter detailed description of lost property. Include any information you have available such as brand, color, serial number, unique descriptors, and fair market value for each item.
Additional Information
Add any additional information here.
Follow-Up
Officer may use this to contact you for any further information needed.
When is the best time to contact you?*
Preferred method of contact
- Email
- Phone
Signature*
First Last
By signing above, you agree that any form of electronic signature may substitute for the original signature and shall have the same legal effects as the original signature and that the report and information is true to the best of your knowledge.

Demographics and Contact Information