Grocery Store Employee Theft Investigation Form

Incident Details

Date of Incident Time of Incident Location (Aisle/Department) Reported By

Employee Information

Name Employee ID Position Shift

Theft Description

Item(s) Allegedly Stolen Estimated Value Method of Theft Incident Summary

Witness Information

Witness Name(s) Witness Statement(s)

Evidence

Evidence Description Evidence Collected

Investigation Outcome

Findings Actions Taken

Investigator

Investigator Name Date of Investigation