Lost or stolen instrument submission form.
Submissions must be accompanied by a police department file number.
Please use separate entry forms for each instrument or bow.
Entry lines followed by and asterisk (*)must be answered

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Police file number*
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Police Department*
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Was the instrument insured?*

 yes    no. NOTE: This is only for our records and will not become part of the public information.

If yes, Company
name and address.
NOTE: This is only for our records and will not become part of the public information.

Description of goods.*
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Stolen or lost from*
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Date stolen/lost*

Photos of articles? 

yes    no

Owner's Name*

 *

E-mail*

 *

Tel*

 *

FAX

Recovery contact name if different from owner.
 

Please remember to advise us when your goods are recovered.
Failure to do so may cause unnecessary seizure.

Copyright © 2004, The American Federation of Violin and Bow Makers.
All rights reserved. Revised: 09/16/08.