Company Laptop Lost/Stolen Declaration

Employee Information

Full Name Employee ID Department Contact Number Email Address

Device Information

Laptop Brand & Model Serial Number Asset Tag Number Operating System

Incident Details

Date of Loss/Theft Time of Loss/Theft Location Description of Incident Was the incident reported to the police? Yes No If Yes, Police Report Number Date Reported to Police

Declaration

I hereby declare that the information provided above is true and complete to the best of my knowledge. I understand that any false declaration may lead to disciplinary action. Employee Signature Date