Pharmacy Retail Loss Prevention Incident Report
General Information
Date of Incident
Time of Incident
Store Location
Reported By
Incident Details
Type of Incident
Theft
Fraud
Inventory Discrepancy
Damaged Goods
Other
Description of Incident
Loss Amount (if applicable)
People Involved
Suspects (if any)
Employees Involved
Witness(es)
Additional Information
Actions Taken
Police Notified
Yes
No
Follow-up Required
Yes
No
Manager/Supervisor Review
Reviewer Name
Review Comments