Date:
Agent:
Important! Keep in a safe place outside your home. This booklet is provided for your household inventory and insurance records. After this is completed, keep it in a safe place outside your home.
In case of fire, hurricane or other loss, you and your claims adjuster will need to know the value of your household goods and personal property to settle your claim.
SPECIALITEMS VALUEAccessories
Books
Camera & Photo Equipment
China
Glassware
ewelry
Musical Instruments
Paintings
Silver
Other
TOTALS:
SUMMARYITEMS VALUELiving Room 1
Living Room 2
Bathroom 1
Bathroom 2
Dining Room
Kitchen
Bedroom - Master
Bedroom 2
Bedroom 3
Bedroom 4
Clothing - Master
Clothing 2
Clothing 3
Clothing 4
Utility Room
Storage Room
Recreation & Sporting Equipment
Garage & Patio
le troni s
HOUSEHOLD INVENTORY EVALUATION HOUSEHOLD INVENTORY
EVALUATIONName:
STORAGEITEMS VALUEAccessoriesBlanketsChristmas DecorationsLinensLuggageSewing Machine and SuppliesOther
TOTALS:
ns
Special
TOTAL:PRESENT INSURANCE:DI ERENCE:
DisclosureThe information in this article was obtained from various sources not associated with Virginia Farm Bureau Insurance. While we believe it to be reliable and accurate, we do not warrant the accuracy or reliability of the information. These suggestions are not a complete list of every loss control measure. The information is not intended to replace manuals or instructions provided by the manufacturer or the advice of a qualified professional. Nor is it intended to effect coverage under our policy. Virginia Farm Bureau Insurance makes no guarantees of results from use of this information.
Home Inventory Evaluation Page 2
Home Inventory Evaluation
Living Room 3 Appliances
15
Dining Room
26
Clothing
16
Family Room/Den/Office 4
Collectors’ Items
17
Kitchen/Laundry Room 5
Electronics
18
Bathrooms 6
Hobbies
19
Halls 7
Jewelry and Furs
20
Master Bedroom 8
Miscellaneous
21
Bedroom #2 9
Precious Metals
22
Bedroom #3 10
Sports Equipment
23
Bedroom #4 11
Other
24
A12
Total Sheet 25
Basement 13
Garage 14
Items Grouped According to Room Page # Items Grouped According to Category Page #
Having a home inventory can help document a loss, ensure adequate coverage.
The simplest way to document loss of or damage to household goods is to create an inventory of your home’s contents before something happens. This inventory will take some time to complete, but the frustration it could save you later will more than make up for that time. A good home inventory includes a detailed list of your possessions, including receipts, descriptions and photos, when available. Store it somewhere other than in your house. Save copies to an online storage account or external drive, and keep one in your safe deposit box.
Evaluation Sections
$
Number of Items Item Year Purchased Cost
Air Condi Window Units
Books
Bookcases
Bric-a-brac*
Cabinets and Contents*
Closet Contents*
Desks
Fireplace Equipment
Furniture
Lamps
Piano
Rug
Tables
Wall Shelves
Total #1(See Page 26)
*Where applicable, itemize contents in extra space provided.
Home Inventory Evaluation
Home Inventory Evaluation
Living Room
Page 3
Dining Room Number of Items Item Year Purchased Cost
Air Conditioner Window Units
Bric-a-brac*
Bu et
Cabinets and Contents*
Dining Room Set
China
Crystal
Rug
Silverware/Goldware
Table Linens
Wall Shelves
*Where applicable, itemize contents in extra space provided.
Total #2(See Page 26) $
Page 4
Number of items Items Year Purchased Cost
Chandelier
Family Room/Den/OfficeNumber of Items Item Year Purchased Cost
Air Conditioner Window Units
Books
Bookcases
Bric-a-brac*
Cabinets and Contents*
Card Table
Chairs
Closet Contents*
Couch
Desk
Fireplace Equipment
Lamps
Rugs
Tables
Wall Shelves
*Where applicable, itemize contents in extra space provided.
Total #3(See Page 26) $
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�ol;��m�;m|ou����-Ѵ�-ঞom Page 5
Kitchen/Laundry RoomNumber of Items Item Year Purchased Cost
Appliances
Books
Bric-a-brac*
Cabinets and Contents*
Cutlery
Dishes
Freezer
Glassware
Ironing Board
Kitchen Utensils
Linens
Dishwasher
Pots and Pans
Refrigerator
Silverware
Stove
Tables
*Where applicable, itemize contents in extra space provided.
Total #4(See Page 26) $
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�ol;��m�;m|ou����-Ѵ�-ঞom Page 6
Dryer
Washing Machine
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BathroomsNumber of Items Item Year Purchased Cost
Cabinets and Contents*
Closet Contents*
Electrical Appliances
Linens
*Where applicable, itemize contents in extra space provided.
Total #5(See Page 26) $
�ol;��m�;m|ou����-Ѵ�-ঞom Page 7
�ol;��m�;m|ou����-Ѵ�-ঞom Page 8
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HallsNumber of Items Item Year Purchased Cost
Bric-a-brac*
Cabinets and Contents*
Chairs
Closet Contents*
Lamps
Rugs
Tables
*Where applicable, itemize contents in extra space provided.
Total #6(See Page 25) $
�ol;��m�;m|ou����-Ѵ�-ঞom Page 9
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Master BedroomNumber of Items Item Year Purchased Cost
Air Conditioner Window Units
Bedding
Bed
Books
Bric-a-brac*
Chairs
Chests and Contents*
Closet Contents*
Desk
Dressers and Contents*
Dressing Table
Lamps
Rug
Tables
Wall Shelves
*Where applicable, itemize contents in extra space provided.
Total #7(See Page 26) $
�ol;��m�;m|ou����-Ѵ�-ঞom Page 10
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Bedroom #2Number of Items Item Year Purchased Cost
Air Conditioner Window Units
Bedding
Bed
Books
Bric-a-brac*
Chairs
Chests and Contents*
Closet Contents*
Desk
Dressers and Contents*
Dressing Table
Lamps
Rug
Tables
Wall Shelves
*Where applicable, itemize contents in extra space provided.
Total #8(See Page 26) $
Bedroom #3Number of Items Item Year Purchased Cost
Air Conditioner Window Units
Bedding
Bed
Books
Bric-a-brac*
Chairs
Chests and Contents*
Closet Contents*
Desk
Dressers and Contents*
Dressing Table
Lamps
Rug
Tables
Wall Shelves
*Where applicable, itemize contents in extra space provided.
Total #9(See Page 26) $
Page 11
�ol;��m�;m|ou����-Ѵ�-ঞom Page 12
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Bedroom #4Number of Items Item Year Purchased Cost
Air Conditioner Window Units
Bedding
Bed
Books
Bric-a-brac*
Chairs
Chests and Contents*
Closet Contents*
Desk
Dressers and Contents*
Dressing Table
Lamps
Rug
Tables
Wall Shelves
*Where applicable, itemize contents in extra space provided.
Total #10(See Page 26) $
�ol;��m�;m|ou����-Ѵ�-ঞom Page 13
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AtticNumber of Items Item Year Purchased Cost
Furniture
Luggage
Other Storage
Trunk and Contents*
*Where applicable, itemize contents in extra space provided.
Total #11(See Page 26) $
�ol;��m�;m|ou����-Ѵ�-ঞom Page 14
�ol;��m�;m|ou����-Ѵ�-ঞomBasement
Number of Items Item Year Purchased Cost
Bric-a-brac*
Chairs
Dehumidifier
Hand Tools
Heating Unit
Luggage
Other Equipment
Piano
Rugs
Storage
Tables
Workbench
*Where applicable, itemize contents in extra space provided.
Total #12(See Page 26) $
�ol;��m�;m|ou����-Ѵ�-ঞom Page 15
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GarageNumber of Items Item Year Purchased Cost
Auto Equipment
Garden Tools
Lawn Furniture
Lawn Games
Other Tools
Storage
*Where applicable, itemize contents in extra space provided.
Total #13(See Page 26) $
AppliancesItem/Brand Serial Number Year Purchased Cost
*Where applicable, itemize contents in extra space provided.
Total #14(See Page 26) $
Page 16
�ol;��m�;m|ou����-Ѵ�-ঞom Page 17
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ClothingNumber of Items Item Year Purchased Cost
*Where applicable, itemize contents in extra space provided.
Total #15(See Page 26) $
�ol;��m�;m|ou����-Ѵ�-ঞom Page 18
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Collector’s Items Item/Brand Serial Number Year Purchased Cost
Antiques
Figurines
Art Objects
Paintings
*Where applicable, itemize contents in extra space provided.
Total #16(See Page 26) $
�ol;��m�;m|ou����-Ѵ�-ঞom Page 19
�ol;��m�;m|ou����-Ѵ�-ঞomElectronics Item/Brand Serial Number Year Purchased Cost
VCR/DVD/Blueray Players
Computers/Laptops
Computer Accessories (Fax, Scanners, Printers, etc.)
Stereo/Sound Equipment
Televisions
Video Equipment
Game Systems (Nintendo, Playstation, etc.)
*Where applicable, itemize contents in extra space provided.
Total #17(See Page 26) $
Smart Phones
�ol;��m�;m|ou����-Ѵ�-ঞom Page 20
�ol;��m�;m|ou����-Ѵ�-ঞomHobbies Item/Brand Serial Number Year Purchased Cost
Collections (Coin, etc.)
Craft Materials
Photography
Musical Instruments
Toys
*Where applicable, itemize contents in extra space provided.
Total #18(See Page 26) $
Sewing Machine
�ol;��m�;m|ou����-Ѵ�-ঞom Page 21
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Jewelry and Furs Item/Brand Serial Number Year Purchased Cost
Bracelets
Brooches
Earrings
Necklaces
Rings
Watches
*Where applicable, itemize contents in extra space provided.
Total #19(See Page 26) $
�ol;��m�;m|ou����-Ѵ�-ঞom Page 22
�ol;��m�;m|ou����-Ѵ�-ঞomMiscellaneous Item/Brand Serial Number Year Purchased Cost
Lawn Mower
Power Tools
*Where applicable, itemize contents in extra space provided.
Total #20(See Page 26) $
Exercise Equiptment
Porch Furniture
Pool Table
Holiday Decorations
�ol;��m�;m|ou����-Ѵ�-ঞom Page 23
�ol;��m�;m|ou����-Ѵ�-ঞomPrecious Metal Items (Gold, Silver, Pewter, Etc.)
Item/Brand Serial Number Year Purchased Cost
*Where applicable, itemize contents in extra space provided.
Total #21(See Page 26) $
�ol;��m�;m|ou����-Ѵ�-ঞom Page 24
�ol;��m�;m|ou����-Ѵ�-ঞomSports Equipment Item/Brand Serial Number Year Purchased Cost
Bikes
Bowling Equipment
Fishing Equipment
Golf Equipment
Guns
Skis
Swim and Diving Gear
Tennis Rackets
*Where applicable, itemize contents in extra space provided.
Total #22(See Page 26) $
Canoe/Kayak
�ol;��m�;m|ou����-Ѵ�-ঞom Page 25
�ol;��m�;m|ou����-Ѵ�-ঞomOther
Number of Items Year Purchased Cost
*Where applicable, itemize contents in extra space provided.
Total #23(See Page 26) $
�ol;��m�;m|ou����-Ѵ�-ঞom Page 26
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Total Number of Items $
Enter your total number of items and total cost of items for each category.Total Cost of ItemsTotal Number Item Category Number of Items Cost
Total #1 Living Room
Total #2 Dining Room
Total #3 Family Room/Den/OfficeTotal #4 Kitchen/Laundry
Total #5 Bathrooms
Total #6 HallsTotal #7 Master BedroomTotal #8 Bedroom #2Total #9 Bedroom #3Total #10 Bedroom #4Total #11 AtticTotal #12 BasementTotal #13 GarageTotal #14 AppliancesTotal #15 Clothing
Total #16 Collector’s Items
Total #17 Electronics
Total #18 Hobbies
Total #19 Jewelry and Furs
Total #20 Miscellaneous
Total #21 Precious Metals
Total #22 Sports EquipmentTotal #23 Other
Total Cost