FOR NAU EMPLOYEES AND STUDENTS ONLY
PROPERTY DAMAGE REPORT: The following report is to be filled out and submitted to Property and Liablity Insurance Services. Services for all non-criminal damages to state-owned property or personal property. If the loss was due to criminal activity (graffiti, theft, vandalism) or involves a multi vehicle accident or injury, please contact NAU Police Department dispatch at 523-3611 to file a police report.
|FILL OUT ALL FIELDS AS COMPLETELY AS POSSIBLE|
|REMEMBER TO INCLUDE DESCRIPTIVE INFORMATION|
|IN THE EVENT OF WATER DAMAGE TO STATE FACILITIES, REFER TO "WATER DAMAGE RESTORATION GUIDELINE" PROCEDURES.|
|MOVE FROM ONE BOX TO THE NEXT BY PRESSING THE TAB "KEY", OR USE YOUR MOUSE. DO NOT PRESS ENTER. THIS WILL CLOSE THE FORM & IT WILL BE SUBMITTED TO SES BLANK.|
|YOU MAY PRINT A COPY FOR YOUR RECORDS AFTER YOU PRESS "SUBMIT"|
|ONLY PRESS "SUBMIT" ONCE|
|IF YOU HAVE ANY QUESTIONS CONCERNING THE REPORTING PROCESS FOR DAMAGED PROPERTY, PLEASE CONTACT Property and Liablity Insurance Services 928- 523-4557.|
|IF DAMAGE IS DUE TO VANDALISM OR CRIMINAL DAMAGE PLEASE CALL THE NAU POLICE DEPARTMENT AT 928-523-3611.|
NAU (State-owned) Property - When property of the state (Northern Arizona University) is damaged, a "Damage to State Property" report must be filed with NAU PLIS. If you are an employee of the University, or a departmental representative who wishes to report damage to Northern Arizona University property, please check the appropriate box below, and complete the rest of the form. The report form is e-mailed to the SES Insurance Officer for possible insurance claims processing. If necessary, the Insurance Officer will telephone you to get additional information.
Personal Property - If you feel your personal property was damaged as a direct result of University responsibility, you may fill out a "Damage to Personal Property" report. Example: An NAU employee accidentally damages your electronic equipment while repairing your residence hall room. Follow the above instructions.