Please use this form to record your personal property in case of theft or loss. Keep the completed form for your records with one copy in a safe place and a second copy readily available in case of theft. Update this list every time you obtain new property. If you are a victim of a crime or a loss occurs, provide an updated copy to the officer taking the report.

This form is provided as a guide when keeping a list of your property. Should a theft or loss occur, a properly maintained list will assist the Phoenix Police Department in recovering your property and apprehending the suspect/s. It also may assist in making any claims on your insurance policy.

Example

Items should be logged individually. Include those items engraved or identifiable as belonging to you as a victim, i.e., (perm. marker, paint or location of damaged areas). A detailed description of jewelry, including engraved or one of a kind items ($1,000 or more), must be listed separately. All information on this form is very important and each block should be filled out legibly and completely to ensure return of your property, if located. (Without the proper information, the property will not be returnable to you and may be sold at auction). PLEASE PRINT OR TYPE

ARTICLE TYPE (TV, RIFLE, CAMERA)	BRAND NAME		MODEL NUMBER ONLY FOR ORIG. ITEM		COLOR	SIZE/CALIBER		SERIAL #	OWNER APPLIED IDENTIFIERS		TOTAL VALUE (WHEN PURCHASED)
RING	Josten		Pleasant Jr. H.S.		Yellow	7 1/2			Engraved "John P. Doe"		$65
FURTHER DESCRIPTION: Men's yellow 10K gold class ring, green oval stone, year 1949, large dent on side
TELEVISION		Panasonic		XYX04	Black	25"	SN123456			Engraved "Jane Doe"	$475

The form can be downloaded in the format specified below. The form is available for downloading also in Adobe Acrobat (PDF) format, which allows the document to be downloaded, viewed and printed with all of its original formatting and graphics. To view files in this format, you must first download a copy of the Adobe Acrobat Reader and follow the instructions for installation.

You can download this form in the:

Microsoft Word format, 120K

or:

Adobe format as a PDF file, 97K.