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HOME INVENTORY
WORKSHEET
A record of your personal belongings
What if you lost all the contents of your home today? Would you remember all that you had? An inventory of your personal belongings is an important part of preparing for loss situations. In case your home is ever burglarized or damaged by fire or other causes, you can use your inventory to identify missing or damaged items. Also, a completed inventory could make it easier and faster to evaluate your claim.
A completed home inventory will give you:
• A permanent record of the contents of your home and their estimated value.
• A list of product brands and model and serial identification numbers.
• A good estimate of personal property insurance coverage you need.
Consider investing time and effort into completing your home inventory—you will be glad you did.
How to get started
The first several pages of the inventory worksheet provide space for you to list items that may be found throughout your home but that are not specific to any particular room. These categories include electronics, collectibles, jewellery, and sports equipment.
Use the remaining pages to list items as they pertain to each room in your home, such as bedroom furniture. Transfer the total at the bottom of each page to the summary on page 22. This will give you an estimated value of the contents of your home.
Photographs, videos, and lists help
As you go through your home to complete the inventory, consider taking photographs or videos of each room and the contents of cabinets and closets. You also may want to consider compiling a separate list of items you have many of, such as books, clothing, or CDs/DVDs. Being able to look at a photograph or review a video or completed list will help you determine what is missing or destroyed, and it may help us assess the value of those items.
HOME INVENTORY CHECKLIST
ELECTRICAL APPLIANCESItem Brand/Model/Serial No. Year Purch’d Estimated Value
Window Air Conditioning Unit(s)
Other
List additional contents in the extra space provided on pages 18-21.
TOTAL $_________
(Record on page 22)
2
3
ELECTRONIC EQUIPMENTItem Brand/Model/Serial No. Year Purch’d Estimated Value
Computers
Computer accessories(fax, scanners, printers, etc.)
Game systems
Stereo equipment
Television(s)
DVD and/or Blu-Ray player(s)
Wireless devices
Other
List additional contents in the extra space provided on pages 18-21.
TOTAL $_________
(Record on page 22)
HOBBIES AND COLLECTIONSItem Brand/Model/Serial No. Year Purch’d Estimated Value
Antiques
Art objects
Collections (coin, etc.)
Craft materials
Figurines
List additional contents in the extra space provided on pages 18-21.
TOTAL $_________
(Record on page 22)
4
HOBBIES AND COLLECTIONSItem Brand/Model/Serial No. Year Purch’d Estimated Value
Musical instruments
Paintings
Photography
Toys
Other
List additional contents in the extra space provided on pages 18-21.
TOTAL $_________
(Record on page 22)
5
JEWELLERY AND FURSItem Brand/Model/Serial No. Year Purch’d Estimated Value
Bracelets
Broaches
Earrings
Necklaces
Rings
Watches
Other
List additional contents in the extra space provided on pages 18-21.
TOTAL $_________
(Record on page 22)
6
SPORTS EQUIPMENTItem Brand/Model/Serial No. Year Purch’d Estimated Value
Bikes
Bowling
Fishing
Golf
Hunting
Skis
Swim/Diving gear
Tennis rackets
Other
List additional contents in the extra space provided on pages 18-21.
TOTAL $_________
(Record on page 22)
7
LIVING OR FAMILY ROOMNo. of items Item/Brand
Year Purch’d
Estimated Value
Books
Bookcases
Cabinets and contents
Chairs
Closet contents
Couch
Desk
Fireplace equipment
Knick-knacks
Lamps
Rugs
Tables
Wall shelves
List additional contents in the extra space provided on pages 18-21.List other electronic appliances/equipment on page 2 and 3.
TOTAL $_________
(Record on page 22)
8
DINING ROOMNo. of Items Item/Brand
Year Purch’d
Estimated Value
Books
Cabinets and contents
Chairs
China
Crystal
Knick-knacks
Other furniture
Rugs
Silverware/Goldware
Tables
Table linens
Wall shelves
List additional contents in the extra space provided on pages 18-21.List other electronic appliances/equipment on page 2 and 3.
TOTAL $_________
(Record on page 22)
9
KITCHENNo. of Items Item/Brand
Year Purch’d
Estimated Value
Books
Cabinets and contents
Closet contents
Crystal
Cutlery
Dishes
Dishwasher
Freezer
Glassware
Kitchen utensils
Knick-knacks
Linens
Microwave
Pots and pans
Refrigerator
Rugs
Silverware
Stove
Tables
List additional contents in the extra space provided on pages 18-21.List other electronic appliances/equipment on page 2 and 3.
TOTAL $_________
(Record on page 22)
10
MASTER BEDROOMNo. of Items Item/Brand
Year Purch’d
Estimated Value
Bedding
Beds
Books
Chairs
Chests and contents
Closet contents
Clothing
Desk
Dressers and contents
Knick-knacks
Lamps
Other furniture
Rugs
Tables
Wall shelves
List additional contents in the extra space provided on pages 18-21.List other electronic appliances/equipment on page 2 and 3.
TOTAL $_________
(Record on page 22)
11
BEDROOM 2No. of Items Item/Brand
Year Purch’d
Estimated Value
Bedding
Beds
Books
Chairs
Chests and contents
Closet contents
Clothing
Desk
Dressers and contents
Knick-knacks
Lamps
Other furniture
Rugs
Tables
Wall shelves
List additional contents in the extra space provided on pages 18-21.List other electronic appliances/equipment on page 2 and 3.
TOTAL $_________
(Record on page 22)
12
BEDROOM 3No. of Items Item/Brand
Year Purch’d
Estimated Value
Bedding
Beds
Books
Chairs
Chests and contents
Closet contents
Clothing
Desk
Dressers and contents
Knick-knacks
Lamps
Other furniture
Rugs
Tables
Wall shelves
List additional contents in the extra space provided on pages 18-21.List other electronic appliances/equipment on page 2 and 3.
TOTAL $_________
(Record on page 22)
13
BEDROOM 4No. of Items Item/Brand
Year Purch’d
Estimated Value
Bedding
Beds
Books
Chairs
Chests and contents
Closet contents
Clothing
Desk
Dressers and contents
Knick-knacks
Lamps
Other furniture
Rugs
Tables
Wall shelves
List additional contents in the extra space provided on pages 18-21.List other electronic appliances/equipment on page 2 and 3.
TOTAL $_________
(Record on page 22)
14
DEN OR OFFICENo. of Items Item/Brand
Year Purch’d
Estimated Value
Books
Bookcases
Cabinets and contents
Chairs
Closet contents
Couches
Desk
Fireplace equipment
Knick-knacks
Lamps
Other furniture
Rugs
Tables
Wall shelves
List additional contents in the extra space provided on pages 18-21.List other electronic appliances/equipment on page 2 and 3.
TOTAL $_________
(Record on page 22)
15
HALLSNo. of Items
Item Brand/Model/Serial No.
Year Purch’d
Estimated Value
Cabinets and contents
Chairs
Closet contents
Knick-knacks
Lamps
Rugs
Tables
BATHROOMS/LAUNDRY ROOM
Cabinets and contents
Closet contents
Clothes dryer
Ironing board
Linens
Lamps
Washing machine
ATTIC
Furniture
Luggage
Other storage
Trunk and contents
List additional contents in the extra space provided on pages 18-21. List other electronic appliances/equipment on page 2 and 3.
TOTAL $_________
(Record on page 22)
16
BASEMENTNo. of Items
Item Brand/Model/Serial No.
Year Purch’d
Estimated Value
Chairs
Couch
Dehumidifier
Dryer
Hand tools
Heating unit
Knick-knacks
Luggage
Other equipment
Other furniture
Other storage
Rugs
Tables
GARAGE
Auto equipment
Garden tools
Lawn furniture
Lawn games
Lawn mowers
Power and other tools
Other storage
List additional contents in the extra space provided on pages 18-21. List other electronic appliances/equipment on page 2 and 3.
TOTAL $_________
(Record on page 22)
17
18
ADDITIONAL CONTENTSNo. ofItems Item Brand/Model/Serial No.
YearPurch’d
Estimated Value
TOTAL $_________
(Record on page 22)
19
ADDITIONAL CONTENTSNo. ofItems Item Brand/Model/Serial No.
YearPurch’d
Estimated Value
TOTAL $_________
(Record on page 22)
20
ADDITIONAL CONTENTSNo. ofItems Item Brand/Model/Serial No.
YearPurch’d
Estimated Value
TOTAL $_________
(Record on page 22)
21
ADDITIONAL CONTENTSNo. ofItems Item Brand/Model/Serial No.
YearPurch’d
Estimated Value
TOTAL $_________
(Record on page 22)
22
ESTIMATED VALUE SUMMARY
Page
Total Estimated Value
2-3 Electrical Appliances,Electronic Equipment $__________
4-5 Hobbies and Collections $__________
6 Jewellery and Furs $__________
7 Sports Equipment $__________
8 Living or Family Room $__________
9 Dining Room $__________
10 Kitchen $__________
11 Master Bedroom $__________
12 Bedroom 2 $__________
13 Bedroom 3 $__________
14 Bedroom 4 $__________
15 Den or Office $__________
16 Halls, Bathrooms, Laundry Room, and Attic
$__________
17 Basement and Garage $__________
18-21 Additional Contents $__________
Overall total $__________
RECORD OF INSURANCE POLICIES
Policy Type Coverage Amount Policy Number Agent
23
What to do with your completed home inventory
Keep all home inventory related items in a safe place, preferably in a safe deposit box or a fireproof safe at home. Items include a home inventory worksheet, photos, videos, and receipts. It’s important to update your inventory when you make new purchases.
Visit with your State Farm® agent about your home inventory. Your agent can review your insurance coverages and help you protect your personal belongings against theft, fire, and other losses.
YOUR NAME:______________________________
YOUR ADDRESS:____________________________
________________________________________
________________________________________
DATE OF INVENTORY:________________________
Be aware that in the event of loss, State Farm may need more information about ownership and value.Residential policies generally include limitations on the insurance coverage available for certain classes of personal property. Review these limitations with your State Farm agent and talk about your coverage options.
State Farm branded policies are underwritten by Certas Home and Auto Insurance Company.®State Farm and related trademarks and logos are registered trademarks owned by State Farm Mutual Automobile Insurance Company, used under licence by Certas Home and Auto Insurance Company.
statefarm.ca®
SMF-50012 CN.3 02-2015