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Property Loss Report
Department__________________________________________ Date ______________
Completed by ________________________________________ Date ______________
Cause of Loss Type of Loss
Theft Property Damage
Vandalism Inventory
Burglary Money/Cash
Tools and Equipment Tools and Equipment
Fire/Arson Employee Time
Accident—Damage Business Interruption
Unexplained Other:
_________________________________________
___________________________________________
_____
Other:
______________________________________
_
______________________________________
_
Date and time loss occurred _______________________________________________________
Date and time loss reported _______________________________________________________
Police report made Report ID # ___________________________________________
List police department contacts and notes ____________________________________________
______________________________________________________________________________
Besides the property loss, were there any other consequences of the loss? __________________
______________________________________________________________________________
______________________________________________________________________________
Could this loss have been avoided? Yes No
If yes, how? ___________________________________________________________________
______________________________________________________________________________
Other comments, notes: __________________________________________________________
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. __________________________________________________________
Tham khảo các loại biểu mẫu và mẫu đơn khác tại trang web http://www.kinhdoanh.com/.
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