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