Get Claim/loss Affidavit (pdf) - Wayne State University - Idrm Wayne

Filling out the Claim/Loss Affidavit is an essential step for users seeking to report losses and claim for damages at Wayne State University. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to fill out your Claim/Loss Affidavit form.

1. Use the 'Get Form' button to access the Claim/Loss Affidavit document. This will allow you to open the form in an editing tool of your choice.
2. Begin by entering your full name in the designated field. This section requires you to provide accurate identification as the claimant.
3. Next, provide your telephone number. Ensure this number is current so that the Office of Risk Management can reach you if needed.
4. Fill out your address in the space provided, including your street, city, and state. This information is necessary for correspondence regarding your claim.
5. Indicate the nature of your claim by checking the corresponding box for either 'Property Damage' or 'Other.' This classification will help in processing your claim efficiently.
6. In the next field, specify the amount you are claiming for the loss. Make sure this amount accurately reflects the total damage or loss incurred.
7. Describe the circumstances of the loss in detail, including when it occurred and how it was discovered. This narrative is crucial for evaluating your claim.
8. Reference any relevant police reports or documentation by including the WSU Police Report number if applicable, to substantiate your claim.
9. List each item claimed, including when you acquired the items, their cost, and the total loss amount. Attach any invoices or estimates to the form for verification.
10. Finally, review your entries for accuracy and completeness. Sign the document where indicated, and include the date and your printed name.
11. Have your signature notarized as required. This step adds a layer of legitimacy to your affidavit.
12. Once all information is filled in and verified, you can save the changes, download the form, or print it for submission. Ensure you keep copies for your records.

Start filling out your Claim/Loss Affidavit online today to ensure your claim is processed promptly.