Making Government Work Better

Massachusetts State Auditor Chapter 647 Form

Report on Unaccounted for Variances, Losses, Shortages or Thefts of Funds or Property as Required by Chapter 647 of the Acts of 1989

  • Under Chapter 647 of the Acts of 1989, employees/representatives of state agencies must immediately report to the State Auditor's Office any unaccounted for variances, losses, shortages or thefts of funds or property that have occurred.
  • Please provide the following information, which will serve as your filed report. Explain, in detail, the incident and the cause of said incident. Complete every field applicable. Do not abbreviate. In the case of loss or theft of state property, if the value is not known, please estimate.
Chapter 647 Form:
Basic Information - * Indicates required field

















Loss/Theft of Property














Variance/Loss of Funds