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Application to Police for Lost Documents / Mobile

Report a lost phone, wallet or document to the police station.

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Police Report for Lost Item / Document - sample

Date: 29/09/2026

To,
The Station House Officer,
Police station name, city

Subject: Report of loss of Samsung Galaxy mobile phone, black, IMEI 35XXXXXXXXXXXX1, SIM 98XXXXXX10

Sir/Madam,

I, Ramesh Kumar Sharma, son of Mohan Lal Sharma, wish to report that I lost the following on 26 September 2026, around 6 pm, near Junagarh Fort market:

Samsung Galaxy mobile phone, black, IMEI 35XXXXXXXXXXXX1, SIM 98XXXXXX10

I searched everywhere but could not find it. I request you to kindly register my report and give me an acknowledgement, so that I can apply for a duplicate / block the item and protect it from misuse.

Yours faithfully,

Ramesh Kumar Sharma
Mobile: 98XXXXXX10

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How to write a Police Report for Lost Item / Document

  1. Fill in the form: Your full name, Relation, Father's / husband's name, Your mobile, Police station, What was lost (details).
  2. Add your letterhead, logo, footer or watermark if you like.
  3. Download a print-ready PDF - or send it for e-signature.

FAQ

Can I file a lost report online?

Many states have an online lost-article report on the state police portal, which gives a report copy immediately. Check your state police website.

Is a lost report the same as an FIR?

No. A lost report records a lost item. If you suspect theft, an FIR may be needed, especially for a mobile phone or valuables.

Is this Police Report for Lost Item / Document template free?

Yes. You can fill it in online and download it as a PDF for free, without installing anything.

Can I change the wording?

Yes. Every sentence of the document can be edited on the page before you download it.

Is this template available in other languages?

Yes - the same document is available in 2 languages. Use the language links on this page.

This is a general template, not legal advice. Check any requirements that apply in your country or organisation.

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