LIFE’S CHECKLISTS · FREE WORKSHEET

Household belongings inventory

Keep receipts and photographs privately for possible claims.

First read the completed example. Then write your own answers in the blank sections. If you do not know an answer, write what you need to ask. Official applications may require their own forms.

Completed example

This is a fictional practice entry. Write your own details in the blank sections below.

Room / item: Desk chair
Description: Black office chair
Purchase date / cost: Example bought May 2025 for $60
Replacement estimate: Example current replacement $75
Private photo / receipt location: Private folder: chair-photo

Date: ____________________