Property Report Form Date of Occurrence: Address of Occurrence: Staff Name Reporting Accident: Contact Phone: Description of Occurrence: List Property Damage: Estimates Obtained? Temporary Repairs Started? Who is performing Temporary Repairs? Witnesses: Police Called (Department, Case Number: Photos Obtained? Additional Information: Privacy Policy Confirmation I agree to be contacted by Alera Group in accordance to their Privacy Policy as described below. By submitting this form, I agree I want to receive additional information from Alera Group, including by email, phone, and mail to the contact information I am submitting. I consent to Alera Group, its subsidiaries, and its service providers, processing my personal information for these purposes and as described in the Privacy Notice. I understand that I can withdraw my consent at any time. Δ Report within 24 hours