Property Damage Report Form - eAuditor Template

Section 1: Property Damage Details

1. 1. When did the damage occur?

2. 2. What is the description of the property?

3. 3. What is the property owner’s information?

4. 4. What is the description of the property damage?

5. 5. What is the cause of the property damage?

6. 6. Was anyone injured?

Yes

No

N/A

7. 7. Was an accident/injury report accomplished and attached?

Yes

No

N/A

8. 8. Were authorities/agencies notified?

Yes

No

N/A

9. 9. Is there media documentation?

Yes

No

N/A

Section 2: Witness Information

1. 1. What is the name and contact details of the witness?

2. 2. What is the witness statement?

3. 3. What are the insurance policy details?

Section 3: Repair Costs/Estimates

1. 1. What are the repair costs or estimates?

2. 2. Are there other relevant documents?

Yes

No

N/A