The verified report of loss, nonperformance, or damage shall set forth, so far as known to the claimant, all of the following:
- (a) Name and address of the claimant.
- (b) Type, kind and location of property which is allegedly injured or damaged.
- (c) Date the alleged loss, nonperformance, or damage occurred.
- (d) Name of pest control operator that is allegedly responsible.
- (e) Name of the owner or occupant of the property for whom the person or pest control operator was rendering labor or services.