Property Damage Loss Report

View Form Instructions

MM slash DD slash YYYY
Insured Name(Required)
Address / Loss Location(Required)
Is the damaged property necessary for the insured to continue operating in any way?

Instructions

  1. Protect property from further damage.
    • Cover if exposed to the elements.
    • Make repairs if reasonable and necessary to protect property from further damage.
    • Maintain record of all expenses incurred protecting the property.
    • Separate damaged from undamaged personal property, if possible.
  2. Take photos of damage preferably before you take protective action.
  3. Prepare inventory of personal property damage.
    • List quantity, description, actual cash value & amount of loss.
    • Attached bills, receipts and related documents.
  4. Retained damaged property until a claims adjuster approves disposal (unless a danger to safety).
    • The adjuster may need to inspect the property.
    • The insurance company may be able to salvage damaged property.
  5. Notify police in the case of a theft.
  6. Be prepared to provide additional documentation as requested by the adjuster.
  7. Expect to be contacted by the claims adjuster within 48 hours.
    • If the damage significantly effects your continuing operation, we will request the insurance company to expedite your claim.
    • Please let us know immediately if your circumstances change and this loss will have a greater effect on your business than originally anticipated.
  8. Business interruption or extra expenses due to loss.
    • Record all expenses incurred due solely to the loss.
      • Wages for employees involved in clean up or repair.
      • Overtime paid for employees to fulfill orders that would have been completed during normal hours if not for the loss.
      • Outside venders involved in clean up, repair, etc.
      • Leasing of temporary space until your facility is repaired.
      • Leasing or purchase of any items necessary to continue operations.
    • Record all expenses that you continued to incur dispute the necessary suspension of your operations.
      • Wages for employees who were sent home but still paid (may be covered for continued payroll).
      • Etc.
    • Document any business lost due to the necessary suspension of your operations.
      • Canceled orders
      • Order refused
      • Etc
    • Complete financial records may be necessary to determine your lost income due to the loss.
      • Your accountant may be able to assist especially if your on-location financial information was destroyed due to the loss.
      • The insurance company may assign an accountant to determine the exact amount of your loss.

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