| Media Center Disaster Damage Report | |||||||
| School ____________________ | |||||||
| Date ________________ | |||||||
| Person assessing damage ____________________ | |||||||
| * Replacement | *Est. Cost to Repair | ||||||
| # Damaged | # Damaged | Cost of items | items not Removed | ||||
| Type of item | Not Removed | Removed | Removed | from Collection | |||
| books | #___________ | #___________ | $___________ | $___________ | |||
| av | #___________ | #___________ | $___________ | $___________ | |||
| equipment | #___________ | #___________ | $___________ | $___________ | |||
| furniture | #___________ | #___________ | $___________ | $___________ | |||
| artwork | #___________ | #___________ | $___________ | $___________ | |||
| other | #___________ | #___________ | $___________ | $___________ | |||
| Total | #___________ | #___________ | $___________ | $___________ | |||
| *Use $20 as estimated replacement cost of regular books, $40 for reference books, $40 for av items. | |||||||
| Look up individual replacement costs for furniture, equipment and other items. | |||||||
| Send completed report to principal and media supervisor. | |||||||