Laboratory Equipment Damage Claim Form

When laboratory equipment is damaged, whether through accidents, mishandling, or safety incidents, research facilities need a systematic way to document the incident, assess research impact, and process insurance claims efficiently.

This laboratory equipment damage claim form template provides research institutions, universities, and private laboratories with a comprehensive solution for managing equipment damage incidents. The form captures critical details including the damaged equipment specifications, circumstances of the incident, safety protocol compliance, experiment disruption assessment, and grant funding implications.

Built for laboratory managers, principal investigators, research coordinators, and safety officers, this template streamlines the damage claim process while ensuring all necessary information is collected for insurance purposes and internal review. The form includes sections for photographic evidence, witness statements, safety violation checks, and immediate corrective actions taken.

Paperform makes it easy to customize this template to match your institution's specific requirements and branding. Conditional logic reveals relevant questions based on damage severity and equipment type, while file upload fields allow documentation of damage photos and supporting materials. Submissions can automatically notify your insurance provider, safety committee, and facility management team.

Connect this form with Stepper to automate your post-incident workflow—route claims to appropriate reviewers based on equipment value, trigger equipment replacement procurement processes, update asset management systems, and generate incident reports for safety committees. For high-value equipment requiring vendor assessment, you can use Papersign to collect electronic signatures on repair authorization forms and insurance claim documents.

Whether you're managing a university research facility, pharmaceutical laboratory, or industrial testing center, this damage claim form ensures nothing falls through the cracks when valuable scientific equipment is compromised.