Please fill out the following form as completely as possible. Print the form to your local printer for your records. The form should be kept at home or in a safe location. You can send the form to the University Police Department along with a e-mail to set up a time for operation id which marks your equipment. You can send me a e-mail at mupdcp@showme.missouri.edu to set up a time to engrave your items or to ask any questions. I can also be reached at (573) 882-5923.

Personal Property Form

Important! The first 3 spaces must be filled in. If they do not apply, enter "do not apply".

Enter your name:

Enter your campus address:

Enter your phone number:

Enter your E_mail:

Please Indicate Student Faculty Staff Other

Television:
Make: Model: Color:
Serial Number: Value:
Other unique marks or features:

Television 2:
Make: Model: Color:
Serial Number: Value:
Other unique marks or features:

VCR:
Make: Model: Color:
Serial Number: Value:
Other unique marks or features:

Computer:
Make: Model: Color:
Serial Number: Value:
Other unique marks or features:

Printer:
Make: Model: Color:
Serial Number: Value:
Other unique marks or features:

Stereo Receiver:
Make: Model: Color:
Serial Number: Value:
Other unique marks or features:

Stereo Tuner:
Make: Model: Color:
Serial Number: Value:
Other unique marks or features:

CD Player:
Make: Model: Color:
Serial Number: Value:
Other unique marks or features:

Portable Radio:
Make: Model: Color:
Serial Number: Value:
Other unique marks or features:

Other Items You Own


Make: Model: Color:
Serial Number: Value:
Other unique marks or features:


Make: Model: Color:
Serial Number: Value:
Other unique marks or features:


Make: Model: Color:
Serial Number: Value:
Other unique marks or features:


Make: Model: Color:
Serial Number: Value:
Other unique marks or features:


Make: Model: Color:
Serial Number: Value:
Other unique marks or features: