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Property Loss Report
Employee’s Name
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Employee's Email
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Employee's Campus Phone Number
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Department Name
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Department Address
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Supervisor’s Name
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Supervisor’s Email
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Supervisor's Campus Phone Number
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Police or Fire Dept. Loss Reported to
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Location of Loss
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Detailed Description of Loss of Damage
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Including date and time of the incident, specific items damaged or lost, and identification of any witnesses.
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