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Get Property Damage Employee Report - City Of Lawrence
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How to fill out the Property Damage Employee Report - City Of Lawrence online
Filling out the Property Damage Employee Report accurately is essential to document incidents and facilitate the claims process. This guide provides step-by-step instructions to help you complete the form with ease and confidence.
Follow the steps to effectively fill out the report online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by entering your personal information in the 'Employee' and 'Occupation' fields. This identifies you as the individual completing the report.
- Fill out the 'Department & Division' section to specify where you are employed within the City of Lawrence.
- In the 'Date, Time, and Place of Accident' section, provide the exact date and time the incident occurred, along with a detailed location where the accident took place.
- Describe the damaged property in the 'Description of Damaged Property' section. Specify the exact location where the accident happened and indicate where the property is currently located if it was moved.
- Complete the 'Owner identification' section by listing the owner of the damaged property, which may not be the City of Lawrence. Provide their address and telephone number.
- Estimate the value of the damages incurred and input that information in the relevant field.
- In the 'Description of Accident' section, write a narrative explaining what occurred. Include any mitigating factors and utilize the diagram area to visually represent the incident.
- List any witnesses in the provided 'Witnesses' section. Include their names, addresses, and telephone numbers for verification purposes.
- Sign the report in the 'Signature of city employee' field and date it to confirm that the information provided is accurate.
- Once you have completed the report, you can save changes, download, print, or share the form as necessary. Be sure to forward the report to the Risk Manager's office within 24 working hours of the incident.
Complete your Property Damage Employee Report online to ensure a smooth filing process.
A flat tire or other damage caused by an unpatched pothole is not eligible for reimbursement, unless KDOT had prior knowledge of the pothole and failed to make a timely repair.
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