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Boise State University
Report of Lost, Missing, or Stolen Equipment
Return to: Inventory Control Office (ext. 3397), MS 1247
Name (Please Print): ____________________________________________ Ext. _____________
Department/Unit: ______________________________ Location: _______________
BSU Tag
No.
Description of Missing Item Manufacturer’s
Serial No.
BRIEF description of circumstances: _________________________________________
Date Reported to Boise Police Department: ____________________
Will this equipment be replaced: YES
NO
Dept Head/Director Signature: __________________________________________ Date: __________
Inventory Control Use Only
Date removed from inventory:
Rev. 4/00
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