Information
Job Information
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Customer
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Job Number
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Conducted on
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Location
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Prepared by
Furniture Items
Furniture Restoration
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Check box to begin adding items
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Add furniture item
Furniture Item
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Description
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Is the item solid or veneered?
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Add photo of complete item
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Where was the item purchased from?
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Are drawers / doors swollen or sticking?
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Where was item affected from?
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Is the base swollen?
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Is there any pre-incident damage to the item?
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Description of the damage
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Please add photo of the damaged areas
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Is the PolicyHolder happy to have the item restored?
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Please provide detail
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Can the item be removed easily from the property?
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Please provide detail
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Go back to top to add another item - Hint: (touch top of screen to return quickly to the top)
Additional Comments
PolicyHolder comments & signature
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Section to be completed by policyholder - Check box to begin
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Would you like to add additional comments?
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Comments
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Customer name & signature
