Cleaning Services Property Damage Claim Form

Thank you for reaching out to us regarding your property damage claim. At [Your Company Name], we strive to handle every property with the utmost care. However, in the unlikely event that damage occurs during our cleaning service, we are committed to addressing and resolving the issue promptly. Please complete this form with as much detail as possible to assist us in processing your claim.

Claimant Information:

Name:
Address:
Contact Number:
Email:
Date:

Service Information:

Service Date:
Service Location:
Type of Service Provided:
[Your Company Name] Employee(s):

Damage Details:

Date Damage Noticed:
Description of Damage:
Location of Damage (in property):
Estimated Cost of Repair (if known):
Was the damage noticed before the service?	Yes No
Additional Comments:

Documentation:

Please attach any relevant documentation that can support your claim, such as photographs of the damage, repair estimates, and any previous communication regarding the issue.

Declaration:

I hereby declare that the information provided in this form is true and accurate to the best of my knowledge. I understand that submitting false or misleading information may result in the denial of my claim.

[Month, Day, Year]

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