DIY Legal Forms

“Help us to stay online by your kind donation.

Every penny will help.”

PayPal

Property Loss Report

Date:

Property description:

Cause of loss:

Value of loss $_______________________

This loss occurred on the ______________, day of _______________ 20 __ at ____ am/pm.

Reported on _____________________, day of _______________ 20 __ at ____ am/pm.

Was a police report made? ________ (If yes, please state number and to whom it was given) ________________

Your comments: