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Stolen Jewelry and Stolen Watch Report Form

The following form can be used on-line to report to JSA theft of jewelry property for submission to the Stolen Jewelry Database. By clicking the SUBMIT button at the end of the form, the information provided by you will be sent to the JSA as an e-mail.

Confidentiality

PRIVACY STATEMENT
The Jewelers Security Alliance is committed to maintaining the privacy of those who use and report information on stolen jewelry through this website. Information reported to JSA will only be used to facilitate the investigation, identification and recovery of stolen jewelry, and will only be provided to those with a need to know, such as law enforcement personnel.

NAME OF PERSON SUBMITTING
The fields marked with an asterisk are required *

Company Name:
*Contact Person:
*Mailing Address:
Additional Address Info:
*City:	State: Zip:
Country:
*Phone Number:
Fax Number:
*Email Address:	required for response

DETAILS OF LOSS

Date & Time of Crime:

Amount of loss ($):

Value of merchandise recovered:

DESCRIPTION OF JEWELRY/WATCHES: Unique descriptive information is required.

Jewelry: Type of item, value, brand name, photograph, engravings, serial numbers, trademarks, or other distinguishing features.

Diamonds: Include the parameters of the four “C's,” color, cut, clarity and carat, as well as laser inscription, if available. Without this type of unique information, obtainable from grading reports, diamonds cannot be identified.

Watches: Brand name, value, style, model, gender specific, metal, serial number, photograph and any other unique features.

Items submitted with vague descriptions or of low dollar value will not be listed.

Was Loss Reported to Police? Yes No

Was Loss Reported to Insurance Company? Yes No

Website by Wellsley

Stolen Jewelry and Stolen Watch Report Form

The following form can be used on-line to report to JSA theft of jewelry property for submission to the Stolen Jewelry Database. By clicking the SUBMIT button at the end of the form, the information provided by you will be sent to the JSA as an e-mail.

NAME OF PERSON SUBMITTING The fields marked with an asterisk are required *

DETAILS OF LOSS

NAME OF PERSON SUBMITTING
The fields marked with an asterisk are required *