Free Cleaning Service Damage Report

I. Client Information
Name: Zena Frami
Address: Jacksonville, FL 32099
Phone Number: 555 123 4567
Email: zena@you.mail
II. Service Details
Date of Service: June 15, 2052
Service Address: Jacksonville, FL 32099
Assigned Cleaner: [Your Name]
III. Damage Report
Description of Damage | Location of Damage | Estimated Cost of Repair | Notes |
|---|---|---|---|
Spilled drink stain on carpet | Living Room, Near Sofa | $80 | A drip stain left after cleaning the area |
Broken ceramic bowl | Kitchen Counter | $25 | The bowl fell while cleaning nearby counter space |
IV. Action Taken
Attempted to clean the carpet stain using a mild detergent, but it remains visible. Recommended professional treatment.
The ceramic bowl was broken when moving items during cleaning. A replacement is being arranged.
V. Acknowledgment
By signing below, both parties acknowledge the details of the reported damage and the actions taken.
Client's Signature | Cleaner's Signature |
June 16, 2052 |
June 16, 2052 |
-For further inquiries or to discuss this report, please contact [Your Company Name] at [Your Company Number] or [Your Email].
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Zena Frami