Personal Property Inventory Form Template
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Personal Property Inventory Form
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Form Directions:
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Please use this form to enter information relevant to your Personal Property loss only. You can print this form and enter your information manually. Should you wish to fill out & submit this form electronically, please contact your Martell Claims adjuster for access. Name
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Use the "Arrow" keys to navigate this form.Address
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For your success, please follow the steps outlined below.Phone
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1. Complete your contact, insurance co., and claim information where indicated at right. (If you don't have your policy or claim numbers, don't worry, we can input that information for you).Insurance Company
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2. List all relevant information regarding each personal property item damaged. ***Required Minimum Information for each item is: (1) the room where the item was located, (2) a detailed description, (3) age, and (4) a Replacement Cost Value (RCV) per Unit.***Insurance Co. Policy Number
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Ph: (313) 274-99003. If you are completing this form electroncially, the form will automatically calculate the "Total RCV" and "Grand Total" figures. Please note that "Grand Totals" are including 6% MI Sales Tax. Insurance Co. Claim Number
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Fax: (313) 274-9901***Note: The shaded areas of this form are FOR OFFICE USE ONLY.***Martell Claim Number
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4. Upon our receipt of your completed total loss contents inventory, the form will be processed, adjusted accordingly, and a copy of the adjusted inventory will be forwarded to your insurance company for review and approval. You will also receive a copy of the adjusted inventory. Adjuster
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5. Your adjusted inventory can then be printed for your records.Total RCV All Items$0.00
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Total Depreciation All Items$0.00
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Net ACV All Items$0.00
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Item #Room/areaItem/Unit DescriptionQtyAge/YrReplacement Cost Value/UnitTotal RCVDepr %Depreciation AmountActual Cash Value (ACV)Documentation
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Personal Property Inventory