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.
REMEMBER...the more thorough your inventory, the more valuable it will
be in case of 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
____ /____/____
$
# /TD>
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
$
