Theft Declaration

Declaration of Theft of Property

This form is only to be used for declaring the theft of property not exceeding the value of €1,000 in Ireland

In an emergency always phone 999 or 112

(subject to verification by a member of An Garda Síochána)

The fields marked with an astrix (*) are mandatory

First name*

Last Name*

Gender*

Female
Male

Date of Birth

Home Address*

Contact Address*

Tourist*

Yes
No

Nationality*

E-mail address*

Telephone*

Date Of Theft*

Time Of Theft*

Location of Theft*

Please be as specific as possible in relation to the location.

County of Theft Occurred*

Details of Items Stolen*

Value Of Items Stolen*

Local Garda Station*

I Certify that I have read and understand the instructions provided here, that my declaration is subject to verification by a member of An Garda Síochána and that all details provided by me are correct.

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