Employee Personal Property Declaration Form Ccf-122 - Clark County School District Page 2
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2LOSS CONDITIONS--CLAIM PROCEDURE
If there is a loss of declared personal property, you must see that the
following are done:
1. Notify Site Administrator and Police. Preserve damaged property as evidence and or obtain
photographs of item(s) at location.
2. Give CCSD immediate notice of the loss or damage. Include a description of the
property involved .
3. Give CCSD Adjuster a written description of how, when, and where the loss or damage
occurred. Include CCSD loss reports, police reports, or witness statements.
4. At CCSD Adjuster’s request, provide complete inventories of damaged or stolen property
to include quantities, costs (receipts), values, and two estimates for replacement.
These documents should be attached to a copy of the declaration form on file and
submitted to Risk Management.
5. Permit CCSD Adjuster to inspect the property and records providing the loss or damage.
6. If requested, permit CCSD Adjuster to question you under oath at such time as may be
reasonably required about any matter relating to your personal property loss, including
your books and records . In such event, your answers must be signed.
7. Complete a sworn statement of loss to settle the claim within sixty (60) calender days
from date of loss. CCSD Adjuster will supply necessary forms.
Claims are subject to review by the Clark County School District, its excess
s.
insurance carrier, and their respective legal counsel
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Parent category: Financial