Professional Documents
Culture Documents
F-1
1 Nov 84
2.
Page 1 of 3
F-1
1 Nov 84
Enter the reporting person's name, sex, race, and date of birth.
Box 2
Box 3
Boxes
4-5
Box 6
Box 7
Box 8
Box 9
Box 10
Boxes
11-13
Page 2 of 3
F-1
1 Nov 84
Instructions:
1. Itemize and describe all property, including its subsequent
disposition.
2. Summarize the details of the incident in accordance with
the instructions printed on the form. If you are receiving
custody of "found property" have the finder sign and
date the declaration in the space provided in box 15.
3. If you are receiving property that is being turned in for
destruction, specify this in the narrative and have the
responsible person sign the declaration in box 15.
Box 15
Box 16
Box 17
Box 18
Print the first initial and last name of your supervisor, including
the watch and district to which you are assigned.
Box 19
Box 20
Page 3 of 3