PROPERTY RECORD

Name _____________________________  Date ___________________

Insurance Company __________________________  Phone __________________

Policy Number _______________________________

Drivers License Number ___________________  State _____  Expiration ________

All items should be engraved with your drivers license number and receipts filed with this form.

Jewelry and antiques that cannot be engraved should be video taped and have a record of appraisal.

SOUND EQUIPMENT / TV / VCR / CAMERAS

ITEM

MAKE

MODEL

COLOR

SERIAL #

         
         
         
         
         
         
         
         
         
         
         

 

 

 

 

 

 

 

 

 

COMPUTER EQUIPMENT

ITEM

MAKE

MODEL

SERIAL #

       
       
       
       
       
       
       


GUNS / SPORTING GOODS

CALIBER

MAKE

MODEL

FINISH

SERIAL #

         
         
         
         
         
         
         
         

 

BICYCLES / SCOOTERS

ITEM

MAKE

MODEL

COLOR

SERIAL #

         
         
         
         
         
         

 

MISCELLANEOUS ITEMS

ITEM

MAKE

MODEL

COLOR

SERIAL #

         
         
         
         
         
         
         
         
         
         
         
         

*Courtesy of the Shelby County Sheriff's Office Crime Prevention Unit