MY HOME INVENTORY

Tracking each one of your personal possessions may seem like a tedious task now, but in the event of a loss, it’s worth it. An accurate and up-to-date home inventory can make filing a claim quick and easy.

MY HOME INVENTORY

In the event of a loss, identifying all of your possessions for an insurance claim can be both challenging and frustrating. Some items are obvious, like a computer, but what about the smaller, lesser used items, like your grandmother’s antique jewelry in the bedroom drawer?

This home inventory form will help you log the valuables in your home and each item’s worth. An accurate and up-to-date home inventory can help you make sure you initially elect the right amount of insurance protection, and in the event of a loss, it can make filing a claim much simpler.

HOME INVENTORY TIPS:• Keep your home inventory in a fire-proof safe or with other important documents.• Store a back-up of this document outside of your home (e.g. a family member’s home or electronically).• Take photos or video to support your inventory.• Attach receipts if you have them. • Review this form annually to add purchases and close gaps in coverage.• Review your home inventory with your Kentucky Farm Bureau Insurance agent.

IF YOU NEED TO FILE A CLAIM:• During normal business hours, contact your local Kentucky Farm Bureau agent. • After hours, call 1-866-KFB-Claim (1-866-532-2524). This number is available 24 hours on weekends and holidays.• Whichever reporting option you use, your report will be more complete if you have the following information available for the customer service representative: □YourKentuckyFarmBureauInsurancepolicynumberforyourhome,farm,orbusiness □Name and primary contact number for whom we should contact to discuss the claim □Name and contact number for all involved parties □Date and time the loss occurred □Description of the damaged property or contents

WHAT HAPPENS AFTER YOU SUBMIT A CLAIM?Yourinformationissentelectronicallytotheregionalofficeinyourarea.Oncetheclaimhasbeenassignedtooneof our claim representatives, he or she will typically contact you within 24 to 48 hours. The claims representative will be able to answer your questions and provide information to help you resolve a covered claim quickly and efficiently.

* Completion of the home inventory form is not a requirement to file a claim. Completion of this form does not guarantee coverage.

ITEM QUANTITY NOTES PURCHASE YEAR ORIGINAL PRICE

Laptop* 1 Dell Inspiron 5000, serial #ABC12345 2018 $650Cameras

Desktop computers

Gaming systems

Laptops

Modem

Phones

Printers

Router

Smart devices

Stereo systems

Tablets

TVs

electronics

MY HOME INVENTORY* Along with our sample entry on the first line, several common items have been pre-filled for your convenience. Use the empty spaces below this list to log additional belongings you need to document.

Date:

ITEM QUANTITY NOTES PURCHASE YEAR ORIGINAL PRICE

Coffee table* 1 Wesling coffee table by Ashley Furniture 2016 $400Art/wall decor

Blinds

Chairs

Coffee tables

Couches

Curtains

Loveseats

Mirrors

Recliners

Rugs

Side tables

living room

MY HOME INVENTORY

Date:

* Along with our sample entry on the first line, several common items have been pre-filled for your convenience. Use the empty spaces below this list to log additional belongings you need to document.

ITEM QUANTITY NOTES PURCHASE YEAR ORIGINAL PRICE

Rug* 1 Size 8.10, from Pier One 2010 $300Art/wall decor

Blinds

Chinaware

Curtains

Glassware

Silverware

Table linens

dining room

MY HOME INVENTORY

Date:

* Along with our sample entry on the first line, several common items have been pre-filled for your convenience. Use the empty spaces below this list to log additional belongings you need to document.

ITEM QUANTITY NOTES PURCHASE YEAR ORIGINAL PRICE

Mixer* 1 Kitchenaid Artisan Series, 5 quart 2019 $400Chinaware

Chairs

Coffee makers

Curtains

Refrigerator

Rugs

Silverware

Tables

kitchen

MY HOME INVENTORY

Date:

* Along with our sample entry on the first line, several common items have been pre-filled for your convenience. Use the empty spaces below this list to log additional belongings you need to document.

ITEM QUANTITY NOTES PURCHASE YEAR ORIGINAL PRICE

Leather recliner* 1 From La-z-Boy, Tripoli brand 2015 $650Art/wall decor

Chairs

Coffee tables

Couches

Curtains

Desks

Lamps

Loveseats

Rugs

family room/office/den

MY HOME INVENTORY

Date:

* Along with our sample entry on the first line, several common items have been pre-filled for your convenience. Use the empty spaces below this list to log additional belongings you need to document.

ITEM QUANTITY NOTES PURCHASE YEAR ORIGINAL PRICE

Tennis rackets* 2 Wilson Clash 100 2019 $249 eachBikes

Exercise equipment

Grills

Lawn furniture

Lawn mowers

Luggage

Power drills

Weedeaters

basement/garage/outdoors misc.

MY HOME INVENTORY

Date:

* Along with our sample entry on the first line, several common items have been pre-filled for your convenience. Use the empty spaces below this list to log additional belongings you need to document.

ITEM QUANTITY NOTES PURCHASE YEAR ORIGINAL PRICE

Shop vac* 1 Craftsman, wet/dry, 12 gallon 2016 $270Dryer

HVAC

Sewing machines

Vacuum cleaners

Washer

laundry/utility/crafts

MY HOME INVENTORY

Date:

* Along with our sample entry on the first line, several common items have been pre-filled for your convenience. Use the empty spaces below this list to log additional belongings you need to document.

ITEM QUANTITY NOTES PURCHASE YEAR ORIGINAL PRICE

Mattress* 1 Sealy Posturepedic, queen, firm 2012 $700Art/wall decor

Armoires

Bed frames

Chests

Desks

Dressers

Lamps

Mattress + box springs

Mirrors

Nightstands

bedroom 1

MY HOME INVENTORY

Date:

* Along with our sample entry on the first line, several common items have been pre-filled for your convenience. Use the empty spaces below this list to log additional belongings you need to document.

ITEM QUANTITY NOTES PURCHASE YEAR ORIGINAL PRICE

Mattress* 1 Sealy Posturepedic, queen, firm 2012 $700Art/wall decor

Armoires

Bed frames

Chests

Desks

Dressers

Lamps

Mattress + box springs

Mirrors

Nightstands

bedroom 2

MY HOME INVENTORY

Date:

* Along with our sample entry on the first line, several common items have been pre-filled for your convenience. Use the empty spaces below this list to log additional belongings you need to document.

ITEM QUANTITY NOTES PURCHASE YEAR ORIGINAL PRICE

Mattress* 1 Sealy Posturepedic, queen, firm 2012 $700Art/wall decor

Armoires

Bed frames

Chests

Desks

Dressers

Lamps

Mattress + box springs

Mirrors

Nightstands

bedroom 3

MY HOME INVENTORY

Date:

* Along with our sample entry on the first line, several common items have been pre-filled for your convenience. Use the empty spaces below this list to log additional belongings you need to document.

ITEM QUANTITY NOTES PURCHASE YEAR ORIGINAL PRICE

Mattress* 1 Sealy Posturepedic, queen, firm 2012 $700Art/wall decor

Armoires

Bed frames

Chests

Desks

Dressers

Lamps

Mattress + box springs

Mirrors

Nightstands

bedroom 4

MY HOME INVENTORY

Date:

* Along with our sample entry on the first line, several common items have been pre-filled for your convenience. Use the empty spaces below this list to log additional belongings you need to document.

ITEM QUANTITY NOTES PURCHASE YEAR ORIGINAL PRICE

Hair dryer* 1 Conair InfinitiPro 2017 $45Cosmetics

Curling irons

Electric razors

Hair dryers

Hair straighteners

Medicines

Scales

Toiletries

bathroom 1

MY HOME INVENTORY

Date:

* Along with our sample entry on the first line, several common items have been pre-filled for your convenience. Use the empty spaces below this list to log additional belongings you need to document.

ITEM QUANTITY NOTES PURCHASE YEAR ORIGINAL PRICE

Hair dryer* 1 Conair InfinitiPro 2017 $45Cosmetics

Curling irons

Electric razors

Hair dryers

Hair straighteners

Medicines

Scales

Toiletries

bathroom 2

MY HOME INVENTORY

Date:

* Along with our sample entry on the first line, several common items have been pre-filled for your convenience. Use the empty spaces below this list to log additional belongings you need to document.

ITEM QUANTITY NOTES PURCHASE YEAR ORIGINAL PRICE

Hair dryer* 1 Conair InfinitiPro 2017 $45Cosmetics

Curling irons

Electric razors

Hair dryers

Hair straighteners

Medicines

Scales

Toiletries

bathroom 3

MY HOME INVENTORY

Date:

* Along with our sample entry on the first line, several common items have been pre-filled for your convenience. Use the empty spaces below this list to log additional belongings you need to document.

other items

MY HOME INVENTORY

ITEM QUANTITY NOTES PURCHASE YEAR ORIGINAL PRICE

Watch* 1 Fossil Sport smartwatch, silicone 2018 $275Antiques

Books

Bracelets

Brooches

Coins/gold

Collectors items

Furs

Necklaces

Rings

Safes

Sports memorabilia

Watches

Date:

* Along with our sample entry on the first line, several common items have been pre-filled for your convenience. Use the empty spaces below this list to log additional belongings you need to document.

room

MY HOME INVENTORY

Date:

* Along with our sample entry on the first line, several common items have been pre-filled for your convenience. Use the empty spaces below this list to log additional belongings you need to document.

ITEM QUANTITY NOTES PURCHASE YEAR ORIGINAL PRICE