File an accidental damage waiver claim – Fudge Insurance

Property info

Property manager owner info

Rental unit owner info

Property info

Address where loss occured

Hidden signature

Guest & stay info

Guest info

Guest stay info

Check-in date

Check-out date

Date of incident

Number of people in unit

Loss info & finish

Was damage caused by a guest's pet/animal? YesNo

Is loss theft related? (police report mandatory if yes) YesNo

Has property management company verified damage? YesNo

Can damaged property be repaired? YesNo

Detailed description of how loss occurred

Detailed description of property damage or stolen goods

If damage is unrepairable, provide original purchase details (or upload invoices below)

Please upload supporting documentation

Photos of damage (required)
Invoices for any repaired/replaced items (required)
Original invoices for any unrepairable items
Police report (required for theft-related claims)

Your signature (use mouse/finger to sign)