Damaged/Lost Item Report
VCS IT
Staff Name
*
First Name
Last Name
Staff Email
*
example: jdoe@vcs.net
Is your item Lost/Stolen or Damaged/Broken?
*
Lost/Stolen
Damaged/Broken
Lost/Stolen Item Type
*
Laptop (including monitor)
iPad
Monitor (external)
DTEN
Desk phone
Chromebook
Broken/Damaged Item Type
*
Laptop (including monitor)
iPad
Monitor (external)
DTEN
Desk phone
Chromebook
How was the item Lost/Stolen?
*
Left behind in public facility
Stolen from my vehicle
Stolen from my residence
Stolen/lost at airport security
Stolen/lost at conference
Stolen from hotel room
Other
How was the item Broken/Damaged?
*
Dropped/damaged in transit
Fell off podium
Picked up laptop by screen
Liquid damage
Laptop overheated (i.e. used on carpet, bedding, etc.)
Electrical damage
Damaged in bag
Discovered already damaged
Other
Description of how item was lost/stolen and/or additional notes
*
Description of how item was damaged and/or additional notes
*
Submit
Should be Empty: