PRINTABLE/FAXABLE VERSION

LOS ANGELES AIRPORT POLICE

PILFERAGE INFORMATION FORM

AIRLINE AGENT NAME E-MAIL PHONE NUMBER
DAY OF PILFERAGE:   TIME OF PILFERAGE:  

VICTIM INFORMATION
NAME:
CITY:
COUNTRY:
PHONE#:

GROUND SERVICE COMPANY(S)
NAME CITY COUNTRY PHONE
EMPLOYEE NAME(S):

FLIGHT INFORMATION
  DEPARTURE ARRIVAL INTER-LINE
CITY/COUNTRY:
AIRLINE:
TERMINAL:
FLIGHT#:
DATE:
TIME:

ITEM(S) MISSING
ITEM(S)/TYPE BRAND SERIAL# DESCRIPTION VALUE($)

LIST ANY PROPERTY ADDED/ATTACHED TO THE LUGGAGE:
STICKERS BAG TAGS MARKINGS PROPERTY ADDED

COMMENTS/INFORMATION LINKING CRIME TO LAX:
This Form Is Not To Replace An Official Crime Report
For Informational Purposes Only - In Order To Assist In Identifying Trends
 
CONFIDENTIAL - FOR OFFICIAL LAW ENFORCEMENT USE ONLY