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TIPS TO GET YOU STARTED: Last Updated: 11/03/2013
1. Provide as much detail as possible. Every item attached to your home, regardless of how small or its age, has a value.
2. Include vintage or antique items that may no longer be manufactured or available.
3. Don’t throw anything away until it has been documented and your adjuster has authorized you to do so.
4. Make your list room by room and take your time. As you visualize a room, work your way from the ceiling down and try to create a mental picture of what the room contained.
5. If possible, take pictures or video of each room before you begin for accurate documentation of the quality, size, and appearance of your items.
6. Based on your insurance type, business inventory stock, or items used for business purposes, may need to be listed separately.
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NAME:
(family name - policy holder name)
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ADDRESS:
(your address)
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POLICY NUMBER:
(your insurance policy)
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CLAIM NUMBER:
(claim number from insurance company)
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DATE OF LOSS:
(month-day-year)
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TYPE OF HOME:
(single story, two story, or condo)
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AGE OF HOME:
(year built)
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TOTAL
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POLICY LIMITS:
$0.00REPLACEMENT VALUE: $0.00
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Click on the name or category to see the property items - insert/delete rows to customize:
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Bedroom #1HallwayMiscellaneous
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Bedroom Closet #1Kitchen
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Bedroom #2Laundry Room
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Bedroom Closet #2Living Room
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Bathroom #1Garage
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Bathroom #2Exterior
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 Attic
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CategoryBEDROOM - #1
For Insurance Adjuster
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Item No.CategoryDescription of Item Brand name, serial number, or model.Source
(store, gift, etc.)		Qty.Age Yrs.Replacement Cost $Total Value $ Depreciation Actual Cash Value (ACV)
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Bedroom-#1Air conditioner0$0.00$0.00
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Bedroom-#1Alarm System Sensor - Door or Window Contact0$0.00$0.00
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Bedroom-#1Alarm System Sensor - Motion0$0.00$0.00
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Bedroom-#1Bed - Murphy0$0.00$0.00
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Bedroom-#1Cabinet - Built In - Bookshelves - Paint Grade0$0.00$0.00
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Bedroom-#1Cabinet - Built In - Bookshelves - Stain Grade0$0.00$0.00
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Bedroom-#1Cabinet - Built In Desk - Paint Grade0$0.00$0.00
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Bedroom-#1Cabinet - Built In Desk - Stain Grade0$0.00$0.00
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Bedroom-#1Carbon Monoxide Detector0$0.00$0.00
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Bedroom-#1Ceiling Texture - Acoustic Popcorn0$0.00$0.00
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Bedroom-#1Countertop - Granite0$0.00$0.00
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Bedroom-#1Countertop - Wood0$0.00$0.00
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Bedroom-#1Door - French0$0.00$0.00
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Bedroom-#1Door - hardware - high grade lockset0$0.00$0.00
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Bedroom-#1Door - hardware - standard lockset0$0.00$0.00
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Bedroom-#1Door - Paint grade0$0.00$0.00
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Bedroom-#1Door - Sliding Glass - Wood - Paint Grade0$0.00$0.00
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Bedroom-#1Door - Sliding Glass - Wood - Stain Grade0$0.00$0.00
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Bedroom-#1Door - Stain grade0$0.00$0.00
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Bedroom-#1Door bumper0$0.00$0.00
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Bedroom-#1Door Hardware - Deadbolt0$0.00$0.00
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Bedroom-#1Door hardware - high grade0$0.00$0.00
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Bedroom-#1Door hardware - standard0$0.00$0.00
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Bedroom-#1Fireplace - Doors0$0.00$0.00
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Bedroom-#1Fireplace - Hearth - Brick0$0.00$0.00
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Bedroom-#1Fireplace - Log Set0$0.00$0.00
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Bedroom-#1Fireplace - Pre-fabricated Metal0$0.00$0.00
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Bedroom-#1Fireplace - Solid Brick0$0.00$0.00
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Bedroom-#1Floor Covering - Carpet0$0.00$0.00
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Bedroom-#1Floor Covering - Ceramic Tile0$0.00$0.00
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Bedroom-#1Floor Covering - Natural Stone0$0.00$0.00
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Bedroom-#1Floor Covering - Sheet Vinyl0$0.00$0.00
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Bedroom-#1Floor Covering - Vinyl Tile0$0.00$0.00
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Bedroom-#1Floor Covering - Wood Parquet0$0.00$0.00
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Bedroom-#1Floor Covering - Wood Plank - Pre-Finished0$0.00$0.00
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Bedroom-#1Floor Covering - Wood Plank - Unfinished0$0.00$0.00
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Bedroom-#1Hardware - Cabinet Door or Drawer Pulls0$0.00$0.00
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Bedroom-#1Heater - Wall0$0.00$0.00
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Bedroom-#1Intercom 0$0.00$0.00
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Bedroom-#1Light fixture - Ceiling fan0$0.00$0.00
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Bedroom-#1Light Fixture - Ceiling mounted0$0.00$0.00
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Bedroom-#1Light Fixture - Flourescent Tube0$0.00$0.00
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Bedroom-#1Light Fixture - Halogen0$0.00$0.00
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Bedroom-#1Light fixture - Hanging0$0.00$0.00
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Bedroom-#1Light fixture - Low Voltage (LED)0$0.00$0.00
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Bedroom-#1Light Fixture - Recessed Can light0$0.00$0.00
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Bedroom-#1Light Fixture - Track0$0.00$0.00
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Bedroom-#1Light Fixture - Track Lighting Fixture0$0.00$0.00
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Bedroom-#1Light Fixture - Wall sconce0$0.00$0.00
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Bedroom-#1Mirror0$0.00$0.00
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Bedroom-#1Paneling - Paint grade0$0.00$0.00
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Bedroom-#1Paneling - Pre-finished0$0.00$0.00
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Bedroom-#1Paneling - Stain grade0$0.00$0.00
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Bedroom-#1Safe - Floor0$0.00$0.00
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Bedroom-#1Safe - Wall0$0.00$0.00
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Bedroom-#1Shelving - Wood - Paint grade0$0.00$0.00
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Bedroom-#1Shelving - Wood - Stain grade0$0.00$0.00
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Bedroom-#1Smoke Detector0$0.00$0.00
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Bedroom-#1Speaker0$0.00$0.00
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Bedroom-#1T.V. Bracket - Wall or Ceiling Mounted0$0.00$0.00
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Bedroom-#1Wall & Ceiling Finish - Drywall0$0.00$0.00
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Bedroom-#1Wall & Ceiling Finish - Plaster0$0.00$0.00
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Bedroom-#1Wall & Ceiling Texture - Orange Peel0$0.00$0.00
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Bedroom-#1Wall & Ceiling Texture - Skip trowel0$0.00$0.00
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Bedroom-#1Wall & Ceiling Texture - Smooth0$0.00$0.00
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Bedroom-#1Wallpaper0$0.00$0.00
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Bedroom-#1Wallpaper - border0$0.00$0.00
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Bedroom-#1Window - Aluminum0$0.00$0.00
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Bedroom-#1Window - Vinyl0$0.00$0.00
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Bedroom-#1Window - Wood - Paint grade0$0.00$0.00
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Bedroom-#1Window - Wood - Stain grade0$0.00$0.00
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Bedroom-#1Window treatment - Drapes0$0.00$0.00
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Bedroom-#1Window treatment - Mini blinds0$0.00$0.00
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Bedroom-#1Window treatment - Roll up shade0$0.00$0.00