|
    Taking
a Household Inventory
Use this form to get started on your inventory. List major
items in each room. Note serial numbers, purchase prices,
present value, and dates of purchase where possible. Attach any
available receipts. Ask your insurance representative to assist
you if you have questions.
You also can take advantage of free, downloadable Home
Inventory Software, developed by the Insurance Information
Institute, to help you document and store important information
about your belongings.
Be as thorough as possible. The more detailed the inventory is,
the more effective it can assist you and your adjuster if you
experience a loss.
Living Room
|
| Article Name and Brief Physical Description
|
Date of Purchase |
Purchase Price |
Serial Number |
| Carpets/Rugs |
____ /____/____ |
$ |
# |
| . |
____ /____/___ |
$ |
# |
| Curtains/Drapes |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Sofas |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Chairs |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Coffee Tables |
____ /____/____ |
$ |
# |
| End Tables |
____ /____/____ |
$ |
# |
| Desk |
____ /____/____ |
$ |
# |
| Wall Hangings |
____ /____/____ |
$ |
# |
| Clocks |
____ /____/____ |
$ |
# |
| Lamps |
____ /____/____ |
$ |
# |
| Television |
____ /____/____ |
$ |
# |
| Radio/Stereo |
____ /____/____ |
$ |
# |
| Records/Tapes/CD's |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Books |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Musical Instruments |
____ /____/____ |
$ |
# |
| Plants/Planters |
____ /____/____ |
$ |
# |
| Mirrors |
____ /____/____ |
$ |
# |
| Accessories |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Other |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| TOTAL |
|
$ |
|
Dining Room
|
|
| Article Name and Brief Physical Description
|
Date of Purchase |
Purchase Price |
Serial Number |
Carpets/Rugs
| ____ /____/____ |
$ |
# |
| Curtains/Drapes |
____ /____/____ |
$ |
# |
| Buffet |
____ /____/____ |
$ |
# |
| Table |
____ /____/____ |
$ |
# |
| Chairs |
____ /____/____ |
$ |
# |
| China Cabinet |
____ /____/____ |
$ |
# |
| China |
____ /____/____ |
$ |
# |
| Silverware |
____ /____/____ |
$ |
# |
| Glassware |
____ /____/____ |
$ |
# |
| Clocks |
____ /____/____ |
$ |
# |
| Lamps/Fixtures |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Wall Hangings |
____ /____/____ |
$ |
# |
| Serving Table/Cart |
____ /____/____ |
$ |
# |
| Other |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| TOTAL |
|
$ |
|
Bathroom
|
| Article Name and Brief Physical Description |
Date of Purchase |
Purchase Price |
Serial Number |
| Carpets/Rugs |
____ /____/____ |
$ |
# |
| Cloths Hamper |
____ /____/____ |
$ |
# |
| Curtains/Drapes |
____ /____/____ |
$ |
# |
| Dressing Table |
____ /____/____ |
$ |
# |
| Electrical Appliances |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Scale |
____ /____/____ |
$ |
# |
| Shower Curtains |
____ /____/____ |
$ |
# |
| Linens |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Other |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| TOTAL |
|
$ |
|
Kitchen
|
| Article Name and Brief Physical Description |
Date of Purchase |
Purchase Price |
Serial Number |
| Tables |
____ /____/____ |
$ |
# |
| . |
____ /____/___ |
$ |
# |
| Chairs |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Curtains |
____ /____/____ |
$ |
# |
| Cabinets |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Lighting Fixtures |
____ /____/____ |
$ |
# |
| Bowls |
____ /____/____ |
$ |
# |
| Pots/Pans |
____ /____/____ |
$ |
# |
| Utensils |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Cutlery |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Dishes |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Refrigerator |
____ /____/____ |
$ |
# |
| Stove |
____ /____/____ |
$ |
# |
| Dishwasher |
____ /____/____ |
$ |
# |
| Disposal Unit |
____ /____/____ |
$ |
# |
| Freezer |
____ /____/____ |
$ |
# |
| Washer |
____ /____/____ |
$ |
# |
| Dryer |
____ /____/____ |
$ |
# |
| Small Appliances |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Clocks |
____ /____/____ |
$ |
# |
| Radios |
____ /____/____ |
$ |
# |
| Step Stool |
____ /____/____ |
$ |
# |
| Food/Supplies |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Other |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| TOTAL |
|
$ |
|
Bedrooms
|
| Article Name and Brief Physical Description |
Date of Purchase |
Purchase Price |
Serial Number |
| Bookcases |
____ /____/____ |
$ |
# |
| . |
____ /____/___ |
$ |
# |
| Chairs |
____ /____/____ |
$ |
# |
| Carpet/Rugs |
____ /____/____ |
$ |
# |
| Curtains/Drapes |
____ /____/____ |
$ |
# |
| Beds |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Mattresses |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Cedar Chest |
____ /____/____ |
$ |
# |
| Desks |
____ /____/____ |
$ |
# |
| Dressers |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Dressing Tables |
____ /____/____ |
$ |
# |
| Night Tables |
____ /____/____ |
$ |
# |
| Lamps |
____ /____/____ |
$ |
# |
| Mirrors |
____ /____/____ |
$ |
# |
| Clocks |
____ /____/____ |
$ |
# |
| Radios |
____ /____/____ |
$ |
# |
| Sewing Machines |
____ /____/____ |
$ |
# |
| Televisions |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Tiolet Articles |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Wall Hangings |
____ /____/____ |
$ |
# |
| Clothing |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Other |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| TOTAL |
|
$ |
|
Garage/Basement/Attic
|
| Article Name and Brief Physical Description |
Date of Purchase |
Purchase Price |
Serial Number |
| Furniture |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Luggage/Trunks |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Sports Equipment |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Toys |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Outdoor Games |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Ornamental Lawn Items |
____ /____/____ |
$ |
# |
| Lawn Mower |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Shovels |
____ /____/____ |
$ |
# |
| Spreader |
____ /____/____ |
$ |
# |
| Sprinklers/Hoses |
____ /____/____ |
$ |
# |
| Wheelbarrow |
____ /____/____ |
$ |
# |
| Weed-Wacker |
____ /____/____ |
$ |
# |
| Snow Blower |
____ /____/____ |
$ |
# |
| Garden Tools/Supplies |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Ladders/Step Stools |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Work Bench |
____ /____/____ |
$ |
# |
| Carpentry Tools/Supplies |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Canned Goods/Supplies |
____ /____/____ |
$ |
# |
| Pet Supplies |
____ /____/____ |
$ |
# |
| Other |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| TOTAL |
|
$ |
|
Porch/Patio
|
| Article Name and Brief Physical Description |
Date of Purchase |
Purchase Price |
Serial Number |
| Chairs |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Tables |
____ /____/____ |
$ |
# |
| Umbrella |
____ /____/____ |
$ |
# |
| Floor Coverings |
____ /____/____ |
$ |
# |
| Lamps |
____ /____/____ |
$ |
# |
| Outdoor Cooking Equipment |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Plants/Planters |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| Other |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| . |
____ /____/____ |
$ |
# |
| TOTAL |
|
$ |
|
|