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:Please Provide a Description of the Events Leading to the District’s 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):