Household Inventory Form

This complimentary form keeps a record of your assets should you ever suffer property damage or loss.

Instructions:
  1. Complete the value for each item listed below. Values will auto-calculate as you go.
  2. At the bottom of the form, click the orange button to calculate your Total household inventory value.
  3. Once your Total household inventory value displays, click the orange button to print the form.

This inventory lists your household goods and personal property.

Name

Date of Inventory

Address

City

State

Zip

Living Room

Article

$ Value

Books

$

Rugs, Draperies

$

Musical Instruments

$

Television

$

Paintings, Pictures, Art Objects, etc

$

Furniture, Misc.: Chairs & Sofas, Tables, etc

$

Air Conditioner (Room)

$

Stereo System

$

DVD Player, CDs, DVDs

$

Video Gaming Devices

$

$

$

Total Room Value

$

Family/Activities Room, Den

Article

$ Value

Piano, Musical Instruments

$

Television

$

Stereo System

$

Video Gaming Devices

$

Books

$

Air Conditioner (Room)

$

DVD Player, CDs, DVDs

$

Telephone, Answering Machine

$

Computer, Software

$

Sewing Machine

$

$

$

Total Room Value

$


Dining Room

Article

$ Value

Chairs, Tables, Buffet

$

Rugs, Draperies

$

China, Glassware

$

Silver and Pewter

$

Linens

$

Paintings, Pictures, Art Objects

$

$

$

Total Room Value

$

Bathrooms

Article

$ Value

Bath Mats, Rugs, Draperies, Shower Curtain

$

Medicine Cabinet Contents

$

Linens and Towels

$

Electrical Appliances (Hair dryers, shavers)

$

Bath Products / Cosmetics

$

$

$

Total Room Value

$


Kitchen, Utility Room

Article

$ Value

Chairs, Tables, Stools

$

Draperies, Rugs

$

Dishes, Glassware

$

Refrigerator

$

Range (Not built in)

$

Dishwasher (Not built in)

$

Washing Machine

$

Dryer

$

Microwave Oven

$

Electrical Appliances (Vacuum, Coffeemaker, etc.)

$

Kitchen Equipment (Foodstuffs, Supplies, etc.)

$

Telephone, Answering Machine

$

$

$

Total Room Value

$

Attic, Storage Room, Garage

Article

$ Value

Luggage, Trunks

$

Porch and Garden Furniture

$

Lawnmower, Hand Tools

$

Garden Hose

$

Wheelbarrow

$

Fertilizer, Seeds, Sprays, etc.

$

Christmas Decorations

$

Records, Tapes, Compact Discs

$

Snow Blower

$

Sports Equipment

$

Miscellaneous Articles

$

$

$

Total Room Value

$


Master Bedroom

Article

$ Value

Bedding (Blankets, Comforters,
Pillows, Box Springs, Mattress)

$

Rugs, Draperies

$

Bed, Chest, Dressing Table

$

Television, Stereo, DVD Player

$

Tables, Lamps and Chairs

$

Mirrors and Clocks

$

Paintings, Pictures, Art Objects

$

Air Conditioner (Room)

$

Telephone

$

$

$

Total Room Value

$

Bedroom #2

Article

$ Value

Bedding (Blankets, Comforters, 
Covers, Pillows, Springs & Mattress)

$

Rugs, Draperies

$

Bed, Chest, Dressing Table

$

Television, Stereo, DVD Player

$

Tables, Lamps and Chairs

$

Mirrors and Clocks

$

Paintings, Pictures, Art Objects

$

Air Conditioner (Room)

$

Telephone

$

$

$

Total Room Value

$


Bedroom #3

Article

$ Value

Bedding (Blankets, Comforters, 
Covers, Pillows, Springs & Mattress)

$

Rugs, Draperies

$

Bed, Chest, Dressing Table

$

Television, Stereo, VCR

$

Tables, Lamps and Chairs

$

Mirrors and Clocks

$

Paintings, Pictures, Art Objects

$

Air Conditioner (Room)

$

Telephone

$

$

$

Total Room Value

$

Bedroom #4

Article

$ Value

Bedding (Blankets, Comforters, 
Covers, Pillows, Springs & Mattress)

$

Rugs, Draperies

$

Bed, Chest, Dressing Table

$

Television, Stereo, VCR

$

Tables, Lamps and Chairs

$

Mirrors and Clocks

$

Paintings, Pictures, Art Objects

$

Air Conditioner (Room)

$

Telephone

$

$

$

Total Room Value

$


Personal Effects — Family

Article

$ Value

Cameras, Laptops, Cell Phones

$

Firearms

$

Golf Clubs

$

Bicycles

$

Exercise Equipment

$

$

$

Total Value

$

Personal Effects — Woman

Article

$ Value

Outerwear (coats, gloves)

$

Clothing

$

Shoes and Slippers

$

Undergarments

$

Nightgowns, Housecoats, Hosiery

$

Jewelry, Watch — Itemize

$

$

$

Total Value

$


Personal Effects — Man

Article

$ Value

Outerwear (coats, gloves)

$

Clothing

$

Shoes and Socks

$

Pajamas, Robes, and Underwear

$

Jewelry, Watch — Itemize

$

$

$

Total Value

$

Personal Effects — Girl(s)

Article

$ Value

Outerwear (coats, gloves)

$

Clothing and Accessories

$

Shoes and Slippers

$

Undergarments

$

Nightgowns, Housecoats, Hosiery

$

Jewelry, Watch, Miscellaneous

$

$

$

Total Value

$


Personal Effects — Boy(s)

Article

$ Value

Outerwear (coats, gloves)

$

Clothing

$

Shoes and Socks

$

Pajamas, Robes, and Underwear

$

Jewelry, Watch, Miscellaneous

$

$

$

Total Value

$

Summary from above worksheet

Living Room

$

Family/Activities Room, Den

$

Dining Room

$

Bathrooms

$

Kitchen, Utility Room

$

Attic, Storage Room, Garage

$

Master Bedroom

$

Bedroom #2

$

Bedroom #3

$

Bedroom #4

$

Personal Effects Family

$

Personal Effects Woman

$

Personal Effects Man

$

Personal Effects Girl(s)

$

Personal Effects Boy(s)

$