
Date of Inventory:
Inventory Taker's Name:
Homeowner's Name:
Street Address:
City
State/Province
Postal/Zip Code
Phone Number
Email:
Insurance Company:
Policy Number:
Policy Effective Date:
Policy Expiration Date:
Living Room Inventory:
Item Description | Manufacturer/Brand | Model Number/ Serial Number | Purchase Date | Purchase Price | Estimated Current Value | Photo/Video Reference | |
|---|---|---|---|---|---|---|---|
Kitchen Inventory:
Item Description | Manufacturer/Brand | Model Number/ Serial Number | Purchase Date | Purchase Price | Estimated Current Value | Photo/Video Reference | |
|---|---|---|---|---|---|---|---|
Bathroom Inventory:
Item Description | Manufacturer/Brand | Model Number/ Serial Number | Purchase Date | Purchase Price | Estimated Current Value | Photo/Video Reference | |
|---|---|---|---|---|---|---|---|
Bedroom Inventory:
Item Description | Manufacturer/Brand | Model Number/ Serial Number | Purchase Date | Purchase Price | Estimated Current Value | Photo/Video Reference | |
|---|---|---|---|---|---|---|---|
Other Rooms' Inventory:
Room Name/Location | Item Description | Manufacturer/Brand | Model Number/ Serial Number | Purchase Date | Purchase Price | Estimated Current Value | Photo/Video Reference | |
|---|---|---|---|---|---|---|---|---|
Electronics:
Item | Manufacturer | Model/Serial Number | Purchase Date | Purchase Price | Estimated Current Value | Photo Reference | |
|---|---|---|---|---|---|---|---|
Jewelry/Artwork/Collectibles:
Description | Material/Artist | Appraised Value | Location of Appraisal | Photo Reference | |
|---|---|---|---|---|---|
Furniture:
Description | Material | Manufacturer | Photo Reference | |
|---|---|---|---|---|
Appliances:
Description | Manufacturer | Model/Serial Number | Photo Reference | |
|---|---|---|---|---|
Clothing/Accessories:
Description | Brand | Estimated Value | Photo Reference | |
|---|---|---|---|---|
Tools/Equipment/Sporting Goods:
Description | Manufacturer/Brand | Model/Serial Number | Photo Reference | |
|---|---|---|---|---|
Firearms:
Make | Model/Serial Number | Location of Storage | Photo Reference | |
|---|---|---|---|---|
Musical Instruments:
Make | Model/Serial Number | Photo Reference | |
|---|---|---|---|
Important Documents:
Document Type | Location | Notes | |
|---|---|---|---|
Form Template Instructions
Please remove Form Template Instructions before publishing this form
I. General Information:
Purpose:
Strengths:
Potential Improvements:
II. Room-by-Room Inventory:
Purpose:
Strengths:
Potential Improvements:
III. Specific Item Categories (For High-Value or Easily Overlooked Items):
Purpose:
Strengths:
Potential Improvements:
For "Important Documents," consider a more structured approach, such as: