Property Management Damage/Loss Waiver Form
Property Address:
Tenant(s) Name:
Lease Start Date:
Lease End Date:
Description of Damage or Loss
Describe the nature and extent of the damage or loss:
Date of Incident:
Estimated Cost of Damage/Loss (if known):
Waiver Agreement
Details of waiver (items, amounts, conditions, etc.):
Authorization
Tenant Signature
Date
Property Manager Signature
Date