Property Loss Claim Reporting Form Please complete the form below to report a Property Claim Loss in your district. District Name:(Required) Campus or Location Name: Address: Contact Name: Email(Required) Phone Number:(Required) Fax Number: Type of Property Loss: Damage to automobile\ vehicle – use Liability & Automobile Physical Damage Reporting Form Damage to district owned property other than an automobile\ vehicle (complete Property Loss section next) Date of Property Loss MM slash DD slash YYYY Location of Damaged Property: What Caused the Loss\Damage? Lightning Hail Theft Flood Fire Wind None of the Above If None of the Above, Describe the Cause Here: To Whom was the Loss Reported? Police Fire Department Please Provide Contact Names for Obtaining Reports from Above: What is the Estimated Value of the Loss (if known):
