General




Furniture
   (Attach pictures of damaged items , purchase receipts or quotes.)
1.Make
Model?
Wrapped?
 
2.Make?
Model?
Wrapped?
 
3.Make?
Model?
Wrapped?


Electrical
   (Attach pictures of damaged items , purchase receipts or quotes.)
1.Make
Model
Wrapped?
 
2.Make
Model
Wrapped
 
3.Make
Model
Wrapped


Property
   (Attach pictures of damaged items , purchase receipts or quotes.)
List of documents attached

Items
   (Attach pictures of damaged items , purchase receipts or quotes.)
List of documents attached