Winter Storm Damage Report

Complete the form below to report any research assets that were damaged as a direct result of the 2021 Texas Winter Weather Event. The Division of Research & Innovation will use these submissions to compile a campus-wide list of all the research assets damaged by the winter storm. The information provided will be used by the VPRI to help identify if any future financial reimbursement from the Division of Research & Innovation may be warranted to help offset the repair/replacement costs of these damaged research assets.

If you also plan to file an insurance claim through UNT Risk Management to report the damaged research asset(s), you will need to coordinate with your department and/or college to complete that submission. UNT Risk Management Insurance Claim

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Name *

College *

Department *

Email *

Phone number *

Upload an approval from your Chair and Dean acknowledging this asset damage was directly caused by the “2021 Texas Winter Weather Event” *

(ex. email exchange, letters)
Files must be less than 128 MB.
Allowed file types: txt rtf pdf doc docx ppt pptx xls xlsx zip.

Damaged asset information

Asset name *

Asset description *

What source of funding was used to initially purchase this damaged asset? *

Other source of funding used

What chartstring was used for the original asset purchase? (if known)

What chartstring will be used to pay for the replacement/repair of this damaged asset? *

What is the total estimated cost to replace/repair this asset? * $

Upload a vendor quote to replace/repair the damaged asset (if applicable)

Files must be less than 5 MB.
Allowed file types: jpg jpeg png tif txt rtf pdf doc docx xls xlsx.

Upload photos of the damage (if applicable)

Files must be less than 128 MB.
Allowed file types: jpg jpeg png zip.

What is the estimated grand total cost to repair/replace all the damaged assets submitted in this report? * $

Research and Innovation

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Winter Storm Damage Report

Winter Storm Damage Report

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