Compensation for Loss or Damage to Personal Property

NOTE: Completion of this form is NOT acceptance of liability on the part of Quick As A Wink Theatre Society. Your potential claim will be reviewed and you will be contacted. 

Potential Property /Personal Damage Claim Form
For Completion by a party claiming Quick As A Wink Theatre Society is responsible for damages to their property

Name *
Name
Phone *
Phone
Address *
Address
(See below for detailed description and additional writing space)
Incident Date *
Incident Date
Incident Time *
Incident Time
Be specific (not just an address)
Normal Wear and Tear on an item is not a valid cause for claim.
Confirmation *