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Loss Site Evaluation
LOSS SITE EVALUATION
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Job Name
Loss Site Evaluation Type
On-Site Evaluation
Phone Evaluation
Job Type
TEXTILES
ELECTRONICS
APPLIANCES
TEXTILES & ELECTRONICS
ELECTRONICS & APPLIANCES
TEXTILES & APPLIANCES
ALL
Job Secured
Yes
No
Cancel Claim
Packout Type
Pickup - Already Bagged Up
Full House Packout
Partial Packout (Listed on FSA)
If Partial describe here:
Number of Occupants
Number of Rooms for Packout
Rush Order:
Textiles
Electronics
Textiles & Electronics
No Rush Order
Contaminant Severity
Light
Medium
Heavy
Estimated Textile Bags
Estimated Electronic Items
Estimated Appliances:
Additional Comments:
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