TACOMA SCHOOL DISTRICT NO. 10 Track-It # (BERT) District Equipment Theft/Damage/Loss Report [To Be Initiated by Person Reporting Loss and Completed by Principal or Site Administrator] Location: Date: Time of Incident: Name/Position of Person Reporting Loss: TYPE OF INCIDENT Theft Burglary Vandalism Other ______________________________ Note: Submit this report to BERT Help Desk (electronic submittal preferable) as soon as practical and retain copy for file. REPORTED TO: School Security Police Department Police Report # _________________ BERT___________ DETAILS OF INCIDENT Describe how incident occurred including damaged, lost and/or stolen equipment, glass damage, painting on walls or buildings, and other damage to buildings or grounds. List possible witnesses, if known. DISTRICT EQUIPMENT STOLEN OR DAMAGED ITEM DESCRIPTION MAKE MODEL SERIAL # BARCODE VALUE (ENTERED BY PURCH) LOSS OF CONFIDENTIAL INFORMATION Did the equipment contain confidential information (student data, personnel data, other)? Yes No If Yes, contact District Legal Services immediately! Ext.1013 Based upon the circumstances of the incident, have steps been taken to prevent theft/loss/damage in the future, including but not limited to adequately safeguarding assets while in the custody of the employee? YES NO (please circle one) PRINCIPAL/ADMINISTRATOR: _______________ __________________________________ DATE:___ /___ /_____ CLAIMS REVIEW (COMPLETED BY PURCHASING) Approved Amount $ ________________ Disapproved Reason________________________________________________________________________________ ______________________________________________________________________________________ Purchasing Manager’s Signature: Copy sent to: Finance Legal Services Originator Other ______________________ Finance Notes: Company Accounting unit Account Activity AcCAT Amount FROM 10 97000.68.501012 Company Accounting unit Account Activity AcCAT Amount TO Fixed Asset Equipment Theft/Damage/Loss Reporting Steps Administrators must follow these steps for submitting the loss report form: 1) Individuals who are granted custody of District equipment shall report the loss, damage or theft of such equipment to the appropriate administrator on a District Theft/Damage/Loss Report form 2) The administrator responsible for the equipment must take prompt action. If loss is due to theft immediately notify School Security and the Tacoma Police Department within 10 working days of the knowledge of the loss in order to be considered for reimbursement. 3) Administrator ensures the Theft/Damage/Loss Report form is complete, including the item description and barcode. 4) If the equipment contained confidential information (student data, personnel data, other) Administrator must check the Yes block in the section titled “Loss of Confidential Information” and immediately contact District Legal Services at extension 1013. Legal Services will follow-up and report as necessary. 5) Administrator submits Report electronically to BERT via email. For the loss to be considered for reimbursement the report must be submitted within 30 days of the knowledge of the loss.
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