Lost / Stolen / Cannibalized / Destroyed / Contaminated

Subcontractor Name: Contact:
Subcontract Number : Date:

Property Information

DOE tag no.

Subcontractor tag no. Property Description
Property has been LOST/STOLEN:
  Please complete the following search actions, and check off when completed:
  Have you verified all property numbers assigned to your subcontract?
  Have you questioned all employee with access to the property?
  Have you searched all storage areas, offices, receiving area and other possible locations?

Please offer suggestions or conclusions on how and when the property may have been lost/stolen:

 Does this loss reflects the effectiveness of your Property Management System? Yes No

If yes, please state remedy(ies) and expected dates(s) to be implemented.

 Did the item contain stored data that was classified, export controlled, business sensitive, or could be
detrimental to UT-Battelle, the government, or your organization? Yes No

Explain what effort was undertaken to recover the lost/stolen item.

Is there a police report? Yes No, If yes, please fax a copy to Tina J. Graves, CPPA, (865) 241-4017


Please fully explain the facts and circumstances:

I certify that the information and data provided is accurate and complete to the best of my knowledge:

Signature: Date::

Title: Phone: eMail:

Submit to:

Tina J Graves, CPPA, ORNL Subcontract Property Coordinator, e-mail: or fax: (865) 241-4017