UCHC CFO Any Type of Fraud Case by H9ogoZc

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									        OFFICE OF PROPERTY & MATERIALS MANAGEMENT

                             INVENTORY CONTROL

             Report of Loss or Damages to Real and Personal Property


This internal signature sheet must accompany the CO-853, Report of Loss or Damages to
Real and Personal Property.

   1. Individual Reporting Loss:

        _________________________________________________          Date: __/__/__
        Signature


   2. Department Head:

        _________________________________________________          Date: __/__/__
        Signature


   3. Public Safety:

        _________________________________________________          Date: __/__/__
        Signature


   4. Director of Property and Materials Management:

        _________________________________________________          Date: __/__/__
        Signature


   5.   AVP for Finance:

        _________________________________________________           Date: __/__/__
        Signature

   6. UCHC CFO
      (Any Type of Fraud Case, Malfeasance, Losses/Damages in excess of $5,000.00)

        _________________________________________________          Date: __/__/__
        Signature

File with CO-853                                                              IC-12

								
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