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