UAB/HSF Property Loss Notice Form

UAB/HSF Property Loss Notice Form

To Report Damage to UAB, UAHSF, or UABEF Buildings, Furnishings, and Equipment

Owner of Property

Select

Other Owner Name

Date of Loss

Building Where Loss Occurred

School/Department

School/Department Contact Name

Contact Email Address

Contact Phone Number

Type of Loss

Select

Description of Loss

Responders (Check all that apply)

Select

Loss Related to Construction/Renovation?

Select

Please upload any photographs of the damaged items/areas below:

Drag and drop files here or

Send me a copy of my responses

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