07/16 PLEASE SEND THE ORIGINAL TO BUSINESS SERVICES AND KEEP A COPY FOR YOUR RECORDS 7.03a
FOR BUSINESS SERVICES USEONLY DATE LOGGED: DATE SENT TO RISK POOL:PROPERTYREPORT EVERETT PUBLIC SCHOOLS P.O.
BOX 2098 EVERETT, WA 98213
PROPERTY REPORT FORMTHIS FORM DOES NOT COMPLY WITH RCW 4.96.020 FOR THE FILING OF A CLAIM FOR DAMAGESFORM INSTRUCTIONS: This form to be completed by DISTRICT PERSONNEL ONLY.
If injuries are
involved, the appropriate report (Injury Report ~ Student/Volulnteer/Citizen or Employee Accident Report) must also be prepared for each injuredperson and a copy attached.
EMPLOYEE? YES NO
ADD...
Allowed
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Everett Public Schools Documents 
