Household Inventory A RECORD OF WHAT I OWN

Household Inventory A RECORD OF WHAT I OWN

Electronic equipment & household items Family room or den Television set(s) 1 Stereo system Sofas DVD/video equipment Telephones Tables & chairs Tapes/CDs/DVDs Bookcases & books MP3 player Entertainment center Cell phone Video games & system Desks & contents Vacuum cleaner Room décor Piano EQUIPMENT TOTAL $ FAMILY ROOM/DEN TOTAL $ Living room Dining room Sofas Coffee tables/end tables China cabinet/buffet Entertainment center Silverware Shelves China Glassware Tablecloths & napkins Fireplace fixtures Collectibles/valuables LIVING ROOM TOTAL $ DINING ROOM TOTAL $ 1 List additional sets under.

Kitchen Bathrooms 1 & 2 1 2 Cabinets/chests Cabinets Shower/bath mats/rugs China/silver/glassware Mirrors/room décor Pots/pans Toilet/bath accessories Food/freezer contents Bathroom linens Clothes hampers Refrigerator Medicine cabinet contents Stove Hair dryers/curlers Microwave oven Electric shavers Dishwasher Personal care items Electrical appliances Utensils/cutlery KITCHEN TOTAL $ BATHROOMS TOTAL $ Bedrooms 1, 2, 3 & 4 1 2 3 4 Sporting goods & hobby Bed frame & mattress Musical instruments 1 Linens Photographic equipment 1 Nightstand Camping equipment Dresser Fishing/hunting equipment Bureau/chest Ski equipment Bookcase & books Golf clubs/accessories Desk Bicycles/in-line skates Mirror Tennis equipment Hobby materials Closet accessories Boats/motors Collectibles/valuables Exercise equipment Artwork Collections BEDROOMS TOTAL $ SPORT/HOBBY TOTAL $

Clothing & personal effects men & boys Garage, basement & attic Coats Furniture Suits Washing machine/dryer Slacks Iron/ironing board Shirts Trunks/luggage Neckties Work bench Underwear/socks Power & hand tools Shoes Garden tools Sports clothes Lawn mower Jewelry/watches Ladders Work/sports bags Patio furniture Lawn ornaments Grill/barbecue equipment MEN & BOYS TOTAL $ ATTIC/GARAGE TOTAL $ Clothing & personal effects women & girls Home office equipment Coats/jackets/furs 1 Computer hardware Jewelry/watches 1 Computer software Purses Bookcases & books Suits Desk & chair Skirts/dresses Fax machine Sweaters/blouses Phones Slacks/jeans Shoes/slippers Lingerie Cosmetics/perfume Accessories WOMEN & GIRLS TOTAL $ MEN & BOYS TOTAL $ CLOTHING TOTAL $ HOME OFFICE TOTAL $

Personal inventory totals Electronic equipment Living room Family room or den Dining room Kitchen Bedrooms Bathrooms Sporting goods/hobby Clothing & personal effects Garage, basement & attic Home office equipment TOTAL PERSONAL INVENTORY $ TOTAL Do you have a record of what you own? TAKING INVENTORY CAN BE TEDIOUS, BUT IF YOU EVER HAVE A BREAK-IN OR A FIRE, YOU LL BE GLAD YOU HAVE A RECORD OF WHAT YOU OWN. Provide the value of each of your possessions, room by room. Document all valuables and collectibles. Include model or serial numbers wherever possible. Support this inventory record with photos or video, and keep in a safe location. Keep this document and any other insurance materials in a safe place. Summary Total all rooms Amount of insurance Difference Value of dwelling (if you own) Amount of insurance Difference Date Inventory was completed: / / Agent info: If you need to file a claim... 1. Contact Encompass TimeSaver Claim Service at 1.800.588.7400 immediately. 2. Protect your property from further damage. 3. Document the damage or loss in writing and with photos or video before repair work begins. 4. Schedule an appointment with your independent insurance agent as necessary. This Household Inventory brochure is intended only as a tool that may be used to create a record of what you own. This inventory is not exhaustive, and should not be interpreted to mean that coverage is available for the listed items or that such items would be covered in the event of a loss or claim. You should review your Encompass policy for applicable terms, conditions and coverages. PI-416 07/11