Property Loss Report

Employee鈥檚 Name Required

Employee's Email Required

Employee's Campus Phone Number Required

Department Name Required

Department Address Required

Supervisor鈥檚 Name Required

Supervisor鈥檚 Email Required

Supervisor's Campus Phone Number Required

Police or Fire Dept. Loss Reported to Required

Location of Loss Required

Detailed Description of Loss of Damage Required

Including date and time of the incident, specific items damaged or lost, and identification of any witnesses.

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