Breakage and Damage Form

Breakage and Damage Form
Client's Name

First NameLast Name
Date Of Service

MonthDayYear
Date
Team:

BABY BLUEBLACKBLUEBROWNGOLDLAVENDERGREYLIME GREENMAROONNAVYORANGEPEACHPINKPURPLEREDSILVERTEALGREENWHITEYELLOWCITRUSCANDY PINKMINTINDIGOVIOLETEMERALDMUSTARDCHERRYBEIGEOPALLAVENDERPURPLE MORPHPURPLE PEARLPEARLY YELLOW
Techs Name:
What was broken?
Front of Item
Left Side
Right Side
Back of Item
Close up of damage or broken area
Picture of brand or label
Extra Picture
Is there a price tag? How much?
Brand or Label from item?
What room was it in?
What Happened?
If the client is home, Did you update them?

Client was updatedClient is not home
Should be Empty: