University Building, Contents or Equipment Claim Report

Notify the University of Georgia Police; 706-542-2200 or local law enforcement authorities to report all incidents or events resulting in property damage. For questions contact Vance Silcott phone 706-425-3083 or email

Person Reporting Claim: *

Department Reporting Claim: *

Contact Person: *

Contact Phone Number: *

Contact Email:

UGA or Other Responding PD Report:

UGA or Other Responding PD Incident Number:

Supervisor Name:

Supervisor Department:

Supervisor Phone:

Custodian of Property:

Property Owner Name:

Property Owner Address:

Property Owner Phone Number:

Property Owner Email:

Date of Loss: *

Time of Loss:

Police Department:

Police Report Number:

Description of Loss:

University Building Name:





University of Georgia