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Report the loss or damage to property or equipment
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Establishment name
Cost centre
First name
Last name
Email address
Telephone number
Address
Postcode
Incident details
Type of damage
Theft
Vandalism
Accidental damage
Fire
Storm or water
Impact
Pick all that apply.
Date of incident / Date of damage discovery
Date of incident / Date of damage discovery: Day
Date of incident / Date of damage discovery: Month
Date of incident / Date of damage discovery: Year
Time of incident
Estimate of total cost of loss/repairs/replacement
Location of incident
Description of incident including details of damage
Were the police advised?
Yes
No
Name of Police Officer
Name of station
Crime reference number
Preventative measures implemented as a result of the incident
