COPS EVENT NUMBER:

NAME:

ADDRESS:

EMAIL:

DATE OF BIRTH:

LANDLINE PHONE: MOBILE:

MOBILE:

PROPERTY DETAILS

NAME / ADDRESS:

GPS COORDINATES:

TRADING NAME:

SIZE OF PROPERTY:

MANAGER’S NAME:

ADDRESS:

LANDLINE PHONE:

STOCK DETAILS

TYPE OF STOCK: CATTLE SHEEP GOAT HORSE DOG OTHER:

BREED AGE SEX COLOUR

QUANTITY: VALUE:

NAME OF PADDOCK STOCK TAKEN FROM SIZE OF PADDOCK DATE THEFT IDENTIFIED

Latitude (-) Longitude

PROPERTY IDENTIFICATION

CODE (PIC):

PROPERTY OWNER’S DETAILS

This is a guide that can be used by victims of stock theft when reporting the incident to the police.

NSWPF/2018/13278

Stock Theft ReportPrevent Rural Crime 09/2018

STOCK THEFT REPORT – PAGE 1

RECORD THE NLIS AND/OR MANAGEMENT TAG DETAILS:

SKETCH THE BRAND AND/OR EARMARK

BRAND EARMARK

If completing digital version of this form, please write in detail in boxes below.

BRAND EARMARK

WHERE ON THE STOCK IS THE BRAND AND/OR EARMARK

IS THE BRAND AND/OR EARMARK REGISTERED? YES NO

ARE PHOTOGRAPHS OF THE STOCK AVAILABLE?

IF YES, PLEASE ATTACH TO THIS REPORT

YES NO

IDENTIFICATION OF STOCK (Brands, Earmarks, NLIS tags and Management tags)

STOCK THEFT TEMPLATE – PAGE 2

DATE STOCK LAST COUNTED REASON (drenching, etc) BY WHO?

PLEASE ATTACH COPIES OF ANY RECORDS IN RELATION TO THE COUNTS TO THIS FORM.

CURRENT PROPERTY DEATH RATE % ATTRITION RATE %

ANY ENVIRONMENTAL CONDITIONS AT THE TIME OF LOSS (eg flood, drought, fly etc)

WERE THE STOCK PROPERTY BRED OR PURCHASED?

PLEASE ATTACH ANY DOCUMENTATION RELATING TO THE PURCHASE OF STOCK

PLEASE ATTACH ANY RECORDS IN RELATION TO BREEDING NUMBERS (Lambing or Calf marking counts)

IS THE PROPERTY BOUNDARY FENCE STOCK PROOF? YES NO

ARE THE FENCES, OF THE PADDOCK STOCK WERE STOLEN FROM STOCK PROOF?, YES NO

WHAT TYPE OF FENCE IS THE BOUNDARY FENCE? WHAT TYPE OF FENCE WHERE STOCK STOLEN?

ARE THE ENTRY GATES TO YOUR PROPERTY LOCKED? YES NO

YES NOARE THE BOUNDARY GATES LOCKED?

YES NO

NAME OF STOCK AGENT:

AGENT’S PHONE NUMBER:

ARE YOU INTENDING TO SUBMIT AN INSURANCE CLAIM?

INSURANCE COMPANY POLICY NUMBER

BRED PURCHASED

ANY HEALTH CONCERNS FOR STOCK

NUMBER OF DEATHS WITHIN THE PADDOCK

TREATMENT

REASON

QUANTITY OF PROPERTY BRED STOCK

SECURITY

DATE STOCK PLACED IN PADDOCK QUANTITY BY WHO?

STOCK THEFT TEMPLATE – PAGE 3

QUANTITY OF PURCHASED STOCK

HAVE YOU BEEN A VICTIM OF STOCK THEFT BEFORE? YES NO

HAVE YOU BEEN A VICTIM OF RURAL CRIME AND NOT REPORTED TO POLICE? YES NO

Date Type of stock stolen Number of stock stolen

NAME OF ALL PEOPLE WHO HAVE ACCESS TO YOUR PROPERTY (Employees, Wood cutters, Hunters, etc)

Name Address Phone Number

NEIGHBOURING PROPERTIES:

Property Name Address Phone Number

IF IT IS CONSIDERED APPROPRIATE, WOULD YOU AGREE TO A MEDIA RELEASE IN RELATION TO YOUR STOCK THEFT? YES NO

IF YOU AGREE TO A MEDIA RELEASE, WOULD YOU ALLOW THE FOLLOWING INFORMATION TO BE GIVEN TO THE MEDIA (indicate YES or NO to each)?

PROPERTY NAME TYPE OF STOCK NUMBER BRAND OR EARMARK

YES NO YES NO YES NO YES NO

MEDIA

made (including PAL)Number & Type of stock reportedCOPS Event NumberName of Police Station report was

STOCK THEFT TEMPLATE – PAGE 4

SUSPECTSDO YOU HAVE ANY SUSPICION OF WHO MAY OF TAKEN YOUR STOCK?

Property Name Address Phone Number

WHAT EVIDENCE AND/OR INFORMATION CAN YOU PROVIDE POLICE TO ASSIST WITH INVESTIGATION THIS INCIDENT?

Name Rank Station

SIGNATURE: DATE:

DETAILS OF POLICE OFFICER WHO RECORDED THE INITIAL REPORT

SAVE AND CLOSE

STOCK THEFT REPORT – PAGE 5