Retail Theft Reporting

Complete a Retail Theft Packet (Print or Fillable .pdf) if any of the below situations apply:

• The suspect is NOT in custody, or;
• If there is any reporting delay as a result of store policy or procedures, or;
• Retail Theft is discovered at a later date (video review) AND the amount is under $1000.00.

The Retail Theft Packet must contain ALL of the information below:

• Full and complete report (on your form or ours) with a full description of the incident, signed by the reporting party.
• Name, date of birth, address, phone number and position of the reporting party.
• List of all witnesses including:

• Name, Date of birth, Address, Phone number
• Description of their observations

• Full list of property stolen or damaged (on your form or ours) including full description of the item, price and the stock number, SKU or UPC. In cases where a serial number is available, include the serial number.
• Complete description of the suspect(s) and vehicle(s) including names (if available) and license plate (if available).
• Copies of any relevant surveillance video including:
  • Still images of any suspect or vehicle
  • Description (in the incident report) of the activity observed on the video and the specific location of the activity (time stamp) on the video
• A description and full information regarding any related incidents at this store or other stores.

When the report is fully completed, please contact the Appleton Police Department at (920) 832-5500 and request an officer to your location. An officer will review the completed report and pursue the appropriate course of action.

Retail Theft Reporting Documents

• Retail Theft Reporting Packet (Print Version)
• Retail Theft Reporting Packet (Fillable .pdf Version)

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