Home Inventory Form
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6Insurance Brokers Association of Canada
H
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An up-to-date inventory of your possessions and a record of their value will be helpful to you,
your insurer, and others, in case of a fire or burglary.
It will also help you determine the amount of insurance you need.
Take the time to complete this form and keep it in a safe place.
Kitchen
Living Room
Article
Replacement Cost
Article
Replacement Cost
Step-Stool
Chesterfield
Table
Chair(s)
Dinette Set
Lamp(s)
Electric Appliances
Table(s)
Dishes
Rug(s), Carpet(s)
Cutlery
Bric-a-Brac
Utensils
Clock(s)
Pots & Pans
Paintings, Pictures
Bowls, etc
Curtains, Drapes
Food Stuffs
Pianos or other
Stove
Musical Instruments
Refrigerator
Other:
Dishwasher
Microwave
Garburetor
Other:
TOTAL
$
TOTAL
$
Insurance Brokers Association of Canada
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