Damage to Client Property Form
This form is for you to report any damage to client property.
Name
*
First Name
Last Name
Email
*
example@example.com
Client Name
*
Job Number
*
Who was working in the area when the damaged occurred (eg you or another person on-site)?
*
What is the location of damage (provide specific details)?
Please explain what has been damaged and how the damage occurred
*
Are there clear and detailed photos of the damage on the Service Titan job file?
*
Please Select
Yes
No
Did damage occur as a result of the Bluegum works being completed?
*
Please Select
Yes
No
Maybe
Please give further details to your answer above
*
If appropriate, have you done anything to repair the damage or prepare the area to be fixed, if so what?
*
What needs to be done to repair the damage?
*
The client is
*
Please Select
Extremely dissatisfied
Dissatisfied
Understanding of the situation
Happy
Very Happy
The damage is the responsibility of
*
Please Select
Client
Bluegum
Technician
Has the client agreed to a resolution if so what, and is this in writing yet?*
*
What could we do differently in the future to avoid this happening in the future?
*
Was the damage due to negligence?
*
Please Select
Yes
No
Please upload photos of the damage
*
Browse Files
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of
Any other comments?
Declaration: By submitting this form, I confirm that all information provided in this form is true and correct
*
I agree
I disagree
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