Loss/Damage To County Owned Property
Complete this form when any County Equipment/Property becomes damaged. A copy of the completed form will be e-mailed to you.
Date:
Department
Description of Property
Inventory # (if known)
Serial # (if applicable)
License # (if motor vehicle)
Employee Property Assigned To:
Date of Loss/Damage
Detailed Report of Damage/Loss
Supervisor On-Duty When Damage/Loss Occured
E-Mail address of Employee Completing Report