SERIAL NUMBERS
Item
Protecting Your Property
Number
What should you know before you make a claim?
When it comes to home insurance, just how much is enough?
If you were to lose the contents of your home, would your home insurance policy cover the cost to replace
everything? That can be a tough question to answer. That’s why it’s a good idea to record all of your belongings, so
you can ensure you have all the coverage you need.
Hopefully, you’ll never have a claim where you need to replace all your property. But the unexpected can happen,
and it is far better to be prepared.
Replacement Cost Protection
For the best protection, the amount of insurance you have on your personal property should equal the replacement
value of the items you own. If you were to lose the contents of your home, the price you originally paid (or the
present value) would be considerably less than the actual cost to replace them.
With our Replacement Cost endorsement, your personal property is insured for the cost of replacement at today’s
prices – not the depreciated value. Replacement Cost covers most household items.
A True Canadian Champion
Making it easier for you
The Co-operators is the leading Canadian owned multi-product insurance company with agents in over
600 locations across the country. Together, we protect over one million Canadians with the same care
and personal service that have made us a true Canadian champion for 60 years.
Here’s an inventory form you can use to list all your property. In case of a loss, such as a fire or burglary, this form
will help establish the extent of your loss and speed up the payment of your claim. Consider videotaping your home,
room by room. This, and the completed form, will give you a true picture of your property. Keep the inventory form
and videotape in a safe place away from your home; a safety deposit box is ideal.
Ask us about our complete line of insurance and investment products.
HALLS AND PASSAGES
Number of Items
Visit our website at www.cooperators.ca
Carpets and Rugs
Chairs
Clocks
Closet Contents
Cupboard Contents
Curtains/Drapes/Blinds
Humidifier
Lamps
Mirrors
Paintings/Artifacts
Plants
Tables
Vacuum Cleaner
Other
TOTAL $
The Co-operators is committed to protecting the privacy, confidentiality, accuracy and security of the personal information that it collects,
uses, retains and discloses in the course of conducting business.
Home Auto* Life Investments Group Business Farm Travel
* Auto not underwritten by The Co-operators in BC and MB. Extension policy offered in SK.
H008 (02/06)
Item
Current Value
Replacement Cost
LIVING ROOM
Number of Items
Item
Current Value
Replacement Cost
Item
Current Value
Replacement Cost
Bookcases/Shelves
Books
Carpets and Rugs
Chairs
Clocks
Closet Contents
Curtains/Drapes/Blinds
Lamps
Mirrors/Plants
Musical Instruments
Ornaments
Paintings/Artifacts
Radio/Stereo/CD Player
Records/Cassettes/CDs/DVDs
Sofas
Tables
Television
VCR/DVD Player
Other
TOTAL $
KITCHEN
Cupboard Contents
Chairs
Clocks
Curtains/Drapes/Blinds
Cutlery/Utensils
Dishes
Dishwasher
Food
Freezer
Linen
Microwave Oven
Pots and Pans
Radio
Refrigerator
Small Appliances
Stove/Range
Tables and Chairs
Other
TOTAL $
Number of Items
BATHROOM
Number of Items
Item
Current Value
Replacement Cost
Number of Items
Appliances
Bathroom Scales
Cabinets and Contents
Carpets and Rugs
Curtains/Drapes/Blinds
Linen Closet Contents
Mirrors/Tables
Shelves and Contents
Toiletries
Other
TOTAL $
BATHROOM NO. 2
Current Value
Replacement Cost
Current Value
Replacement Cost
BATHROOM NO. 4
Current Value
Replacement Cost
SUMMARY
Current Value
Replacement Cost
Grand Total $
Item
Current Value
Replacement Cost
Item
Current Value
Replacement Cost
Bicycles
Building Material
Car Accessories
Garden Tools
Lawn and Patio Furniture
Lawn Mower
Snow Blower
Tools
Workbench
Other
TOTAL $
BATHROOM NO. 3
Halls and Passages
Living Room
Kitchen
Garage and Outbuildings
Family Room
Dining Room
Basement, Laundry Room, Attic
Master Bedroom
Bedroom #2
Bedroom #3
Bedroom #4
Bathroom(s)
Miscellaneous
GARAGE AND OUTBUILDINGS
FAMILY ROOM
Number of Items
Bookcases/Shelves
Books/Games
Carpets and Rugs
Closet Contents
Chairs
Computer/Laptop
Curtains/Drapes/Blinds
Dehumidifier
Desk
Lamps/Clocks
Ornaments
Mirrors
Musical Instruments
Paintings/Artifacts
Radio/Stereo/CD Player
Records/Cassettes/CDs/DVDs
Small Appliances/Cameras
Sofas
Tables
Television
VCR/Camcorder/DVD Player
Video Games
Other
TOTAL $
DINING ROOM
Number of Items
Item
Current Value
Replacement Cost
Carpets and Rugs
Chairs
China Cabinets/Buffets
Chinaware
Crystal
Curtains/Drapes/Blinds
Lamps
Linens
Mirrors
Paintings/Artifacts
Shelves
Sideboard
Silverware
Tables
Other
TOTAL $
BASEMENT, LAUNDRY ROOM AND ATTIC
Number of Items
Closet Contents
Dehumidifier
Iron/Ironing Board
Refrigerator/Freezer and contents
Stored Food
Stored Furniture and Appliances
Tools
Trunks and Luggage
Vacuum Cleaner
Washer and Dryer
Other
TOTAL $
Item
Current Value
Replacement Cost
MASTER BEDROOM
Number of Items
Item
Current Value
Replacement Cost
Bedding
Beds
Books
Bookcases/Shelves
Carpets and Rugs
Chairs
Clocks
Closet Contents
Curtains/Drapes/Blinds
Desk
Dressers/Bureaus and Contents
Lamps
Mattresses
Paintings/Artifacts/Mirrors
Radio/Stereo/CD Player
Records/Cassettes/CDs/DVDs
Tables
Television
VCR/DVD Player
Computer
Wardrobe and Contents
Other
TOTAL $
BEDROOM NO. 2
Current Value
Replacement Cost
BEDROOM NO. 3
Current Value
Replacement Cost
BEDROOM NO. 4
Current Value
Replacement Cost
MISCELLANEOUS
TOTAL $
Number of Items
Item
Current Value
Replacement Cost