Report of Lost, Damaged or Stolen Sankofa Equipment
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Name of Person reporting *
Student Name
If device was used by student please enter student name
Student Grade
If device was used by student please enter student grade
Please select Loss, damage or stolen  *
Date Discovered  *
Enter date you found out the device was  lost, damaged or stolen 
MM
/
DD
/
YYYY
Who Discovered
Enter name of person who discovered device was stolen
Briefly Explain Circumstances:
Provide details on how the device was lost, damaged or stolen.
Description of Equipment
Ex. Laptop, Chromebook, iPad, charger, projector, camera, hotspot
Serial Number
Skip if unknown
Tag Number
Skip if unknown
Reported to Police (Yes or No)? *
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