INCIDENT REPORT

Example

Name: Anna Lumley

Telephone:

Date of arrival:

Address: 235 Road, East sea

The total value of insurance: $

Missing items:

• lamps and chairs (not expensive)
• furniture and
• a rocking horse, some and fruit bowls

Items ordered:

• a clock
• a

Damaged items:

• the needs to be replaced
• a of one of the dining chairs is split
• four were broken.