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Get Gsa 3155 2000-2024

U.S. GSA Form gsa-3155 OFFENSE/INCIDENT REPORT 1. TYPE INSTRUCTIONS ARE PRINTED SEPARATELY. IF ADDITIONAL SPACE IS NEEDED USE REVERSE OF FORM IDENTIFY ITEMS. 2. CODE NO. 2a* SORT a* ORIGINAL 3. TYPE OF OFFENSE OR INCIDENT 5. BUILDING NUMBER 8. AGENCY/BUREAU CODE 4. CASE CONTROL NUMBER 6. ADDRESS 7. NAME OF AGENCY/BUREAU c* SUPPLEMENT OR FOLLOWUP b. CONTINUATION 11a* DATE OF OFFENSE/INCIDENT 15. JURISDICTION X EXCLUSIVE 10. LOCATION CODE 9. SPECIFIC LOCATION 12. DAY 13a* DATE REPORTED 13b. TIME REPORTED 16. NO. OF DEMONSTRATORS CONCURRENT PARTIAL ID CODE a 17. NO. EVACUATED a* TIME START b. TIME END PROPRIETARY NAME AND ADDRESS b AGE c SEX RACE INJURY CODE d e f TELEPHONE g BUSINESS Last Name First Middle Initial HOME Number Street Apt. No* City and State 19. VEHICLE 18. PERSONS INVOLVED b. YEAR a* STATUS c* MAKE d. MODEL YEAR STATE TAG NO. STOLEN SUSPECT GOV T. PERSONAL VANDALIZED a* NAME OF ITEM RECOVERED h. VIN f* IDENTIFYING CHARACTERISTICS i. VALUE g. REGISTRATION b. QUANTITY c* OWNERSHIP e. SERIAL NO. d. BRAND NAME f* COLOR 20. ITEMS TAKEN e. COLOR Top/Bottom i. UNUSUAL OR UNIQUE FEATURES j. PROPERTY WAS k. STATUS OF PROPERTY SECURED VALUE RECOVERED MISSING m*QUANTITY n* OWNERSHIP q. COLOR PARTIAL RECOVERY 21. NARRATIVE If additional space is needed use blank sheet and attach. GENERAL SERVICES ADMINISTRATION GSA FORM REV. CODE NO. 2a* SORT a* ORIGINAL 3. TYPE OF OFFENSE OR INCIDENT 5. BUILDING NUMBER 8. AGENCY/BUREAU CODE 4. CASE CONTROL NUMBER 6. ADDRESS 7. NAME OF AGENCY/BUREAU c* SUPPLEMENT OR FOLLOWUP b. CONTINUATION 11a* DATE OF OFFENSE/INCIDENT 15. CASE CONTROL NUMBER 6. ADDRESS 7. NAME OF AGENCY/BUREAU c* SUPPLEMENT OR FOLLOWUP b. CONTINUATION 11a* DATE OF OFFENSE/INCIDENT 15. JURISDICTION X EXCLUSIVE 10. LOCATION CODE 9. SPECIFIC LOCATION 12. DAY 13a* DATE REPORTED 13b. TIME REPORTED 16. JURISDICTION X EXCLUSIVE 10. LOCATION CODE 9. SPECIFIC LOCATION 12. DAY 13a* DATE REPORTED 13b. TIME REPORTED 16. NO. OF DEMONSTRATORS CONCURRENT PARTIAL ID CODE a 17. NO. EVACUATED a* TIME START b. TIME END PROPRIETARY NAME AND ADDRESS b AGE c SEX RACE INJURY CODE d e f TELEPHONE g BUSINESS Last Name First Middle Initial HOME Number Street Apt. NO. OF DEMONSTRATORS CONCURRENT PARTIAL ID CODE a 17. NO. EVACUATED a* TIME START b. TIME END PROPRIETARY NAME AND ADDRESS b AGE c SEX RACE INJURY CODE d e f TELEPHONE g BUSINESS Last Name First Middle Initial HOME Number Street Apt. No* City and State 19. VEHICLE 18. PERSONS INVOLVED b. YEAR a* STATUS c* MAKE d. MODEL YEAR STATE TAG NO. No* City and State 19. VEHICLE 18. PERSONS INVOLVED b. YEAR a* STATUS c* MAKE d. MODEL YEAR STATE TAG NO. STOLEN SUSPECT GOV T. PERSONAL VANDALIZED a* NAME OF ITEM RECOVERED h. VIN f* IDENTIFYING CHARACTERISTICS i. STOLEN SUSPECT GOV T. PERSONAL VANDALIZED a* NAME OF ITEM RECOVERED h. VIN f* IDENTIFYING CHARACTERISTICS i. VALUE g. REGISTRATION b. QUANTITY c* OWNERSHIP e. SERIAL NO. d. BRAND NAME f* COLOR 20. ITEMS TAKEN e. VALUE g. REGISTRATION b. QUANTITY c* OWNERSHIP e. SERIAL NO. d. BRAND NAME f* COLOR 20. ITEMS TAKEN e. COLOR Top/Bottom i. UNUSUAL OR UNIQUE FEATURES j. PROPERTY WAS k. STATUS OF PROPERTY SECURED VALUE RECOVERED MISSING m*QUANTITY n* OWNERSHIP q. .

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