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Property Damage Report Form: (Other Than Auto )

This 3 sentence summary provides the key details about the Property Damage Report Form: The Property Damage Report Form collects information about incidents that cause property damage other than to vehicles, including the date, location, type of loss, description of damaged property, how the incident occurred, estimated repair and replacement costs, and contact details of the employee filing the report which must be submitted to Risk and Insurance Services before incurring any costs.

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185 views1 page

Property Damage Report Form: (Other Than Auto )

This 3 sentence summary provides the key details about the Property Damage Report Form: The Property Damage Report Form collects information about incidents that cause property damage other than to vehicles, including the date, location, type of loss, description of damaged property, how the incident occurred, estimated repair and replacement costs, and contact details of the employee filing the report which must be submitted to Risk and Insurance Services before incurring any costs.

Uploaded by

Anonymous jiZwciD6
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Risk and Insurance Services

Property Damage Report Form


(other than auto*)

Please return the completed form to Risk and Insurance Services, 208 Elizabeth Avenue, fax 709-864-8823, or email
enterpriserisk@mun.ca, prior to incurring any costs.

Department:

Employee/Contact Information Name:

Phone No:

Fax No:

Email:

Date of Incident: Time:

Location of Incident:

Type of Loss: Water Damage Theft

Fire Vandalism Other

Description of the Property (including model number, serial number, age, etc.):

Description of the damage:

Description of how the incident occurred:

Approximate cost of repairs: Approximate cost of replacement:

Employee filing this report:

Print Name Position

Signature Date

*for auto claims, please complete the Automobile Accident Report Form

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