Customer Personal Belongings Inventory Form

A customer-signed inventory form to document personal items left in a vehicle at drop-off, support liability limitation, and create a clear record of belongings before repair work begins.

Customer and Vehicle Details

• Customer Name
• Repair Order Number
• Vehicle Year / Make / Model
• License Plate Number
• Intake Date

Belongings Inventory

• Which personal items were left in the vehicle?
• Describe Other Items
• Are any high-value items left in the vehicle?
• List High-Value Items
  Include only items that are important to identify for custody or return. Do not include unnecessary personal details.
• Have you removed all items you want to keep before repair begins?
• Notes About Remaining Items

Storage and Liability Acknowledgment

• I understand that the shop will document only the items listed on this form and is not responsible for unlisted personal property left in the vehicle.
• I authorize the shop to keep the vehicle in its custody during repair and to move or store the vehicle as needed for service operations.
• Customer Signature
• Signature Date

Shop Use Only

• Advisor Name
• Inventory Verified with Customer
• Verification Notes