Personal Property Inventory Card - University Housing

Personal Property Inventory CardAbout this cardPrint this form out and fill in the sensitiveinformation. This card should be kept in a securelocation, accessible only by you or someone youtrust with your personal information.Do not fill this card out electronically—if yourcomputer is hacked or compromised, your sensitiveinformation could be at risk.Additional Personal Property Inventory Cards areavailable on the University Housing website.Insurance coverage___________________________________________Insurance Company___________________________________________Policy number___________________________________________Insurance or claims agent(______) ______-_________Phone number___________________________________________Address line 1___________________________________________Address line 2Credit cardsCard 1_______________________________Credit card number_______CSC___________________________________________Account number_______/_______ (______) ______-_________Expiration date Phone number if lostCard 2_______________________________Credit card number_______CSC___________________________________________Account number_______/_______ (______) ______-_________Expiration date Phone number if lostCard 3_______________________________Credit card number_______CSC___________________________________________Account number_______/_______ (______) ______-_________Expiration date Phone number if lost

Personal propertyItem 1___________________________________________Item___________________________________________Description___________________________________________Manufacturer__________________Model____________________Serial number$ __________________ ______/______/______Value/purchase price Date purchasedItem 2___________________________________________Item___________________________________________Description___________________________________________Manufacturer__________________Model____________________Serial number$ __________________ ______/______/______Value/purchase price Date purchasedItem 3___________________________________________Item___________________________________________Description___________________________________________Manufacturer__________________Model____________________Serial number$ __________________ ______/______/______Value/purchase price Date purchasedItem 4___________________________________________Item___________________________________________Description___________________________________________Manufacturer__________________Model____________________Serial number$ __________________ ______/______/______Value/purchase price Date purchased