We are about taking good care of people and businesses
MaidsForCleaning

Damage Report

Date:

Customer name:

Address:

Home Phone:

Technician on duty:

Item(s) description:





Replacement value of item(s):



Please describe the incident that caused the damage:



Can item be repaired?

Was customer notified?                If yes, by whom?             If yes, date and time:

Please describe follow-up procedure (I.e., item repaired or replaced):




Cost:



Was insurance company notified?  

Date of insurance company notification: