RMF Property Incident Form
Please submit this form if a property insured through the RMF program suffered damages and there is interest in submitting a claim. Please note, that any property claim has a $5,000 deductible, so if the damages do not exceed that amount, it is likely preferable to make the necessary repairs without submitting a claim.
Chapter Name (e.x. Beta Beta) *
Your answer
School Name *
Your answer
Person submitting (include title) *
Your answer
Person submitting phone numer *
Your answer
Person submitting e-mail address *
Your answer
Date of the Incident
MM
/
DD
/
YYYY
Time of the Incident
Time
:
Provide a detailed factual account of what happened *
Your answer
Describe the nature and extent of the damage *
Your answer
Estimated cost to repair the damages
Your answer
Has the school been notified?
Was a police report filed? *
Evidence
Please send any pictures or witness contact information to rmf@sigmachi.org . Subject line should read "Chapter name incident details"
Submit
Never submit passwords through Google Forms.
This form was created inside of Risk Management Foundation. Report Abuse - Terms of Service