It Incident Report Template Ict by vpd18472

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									              DEPARTMENT OF EMPLOYMENT, EDUCATION AND TRAINING



                           Lost/Stolen/Damaged Equipment

      Use this form if computing equipment has been lost, stolen or damaged.

      Please tick one of the boxes below:

      Lost                       Stolen            Damaged


       Name:
       School:
       Phone:
       Asset #:
       Make
       Model
       Serial #:
       Service Provider
       Incident #:
       Police Report # (if
       stolen): PROMIS #
       Details of loss/ theft/
       damage:




      NOTE: If your equipment was stolen and you don’t have a Police Report Number , we can’t
      process this form. You must also ensure a job is logged with the appropriate Service
      Provider’s help desk.

      Principal/Manager

      I confirm that the above asset has been lost/stolen/damaged.

       Name:
       Title:
       Signature:
       Date:

      Once completed please fax to IT Services Branch Attn: Operations 8999 5611


       ITSB Use Only
       Incident Recorded                        ComputerFleet
                                                advised
       DELL advised                             Other parties advised




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               DEPARTMENT OF EMPLOYMENT, EDUCATION AND TRAINING




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