< When submitting this form, please be patient. If you are adding images the form will take some time to send. Job Code Site Address ---Store# 5282 – 445-A BLOSSOM HILL RD, SAN JOSE, CAStore# 2624 – 1111 BRANHAM LANE, SAN JOSE, CAStore# 3531 – 1170 BLOSSOM HILL ROAD, SAN JOSE, CA Today's date Officer's First Name Arrival Time I inspected all perimeters of the building. ---YesNo Please explain your inspection I removed homeless people.---YesNone Present Upload images max size 10mb Time of report. Officer's Last Name End Time Was there any damage? ---YesNo Explain any damage details. Explain any homeless people details. Did you speak with a Nationwide Rep? ---Gary Z.Keith O.Eric L.Russ S.Steve M.No One Other notes When submitting this form, please be patient. If you are adding images the form will take some time to send. Get our mobile app. Use our company code 21465 and your access code/employee code Δ