Crime Claim Loss Form Please complete the form below to report a Crime Claim Loss in your district. Please indicate type of claim: Incident Report Only Making a Claim JIF: ACCASBO BCIP GCSSD Member District* Address with City, State & Zip* Contact Name:* Contact Person's Telephone Number:* Contact Person's Email: Date of Incident: Date Reported: Incident Description:Incident Discovered By Whom: By What Means: Approximate Duration of Incident: Suspect(s) if known, and Date(s) of Employment and/or Department:Investigating Law Enforcement Agency and/or Jurisdiction: Charges Filed? Other(s) Involved:Additional Information: