Household Goods Inventory and Condition Report

Numbered inventory form for household items at pickup, including item condition notes, pre-existing damage notations, and customer/crew acknowledgements.

Submission Notice and Acknowledgement

• Purpose of this report
• Customer acknowledgement and consent to record item condition
  Consent and disclosure for any PII or condition documentation collected in this report.
• What happens after I submit

Shipment and Pickup Details

• Pickup date
  Date the household goods were inventoried at pickup.
• Job or shipment number
• Pickup location
• Customer name
• Crew lead name

Inventory Summary

• Total number of inventoried items
  Count all numbered items documented in this report.
• Inventory method
• Items requiring special handling

Itemized Inventory and Condition Notes

• Inventory items
• Condition key
• Visible pre-existing damage details
  Describe scratches, dents, chips, tears, stains, missing parts, or other visible damage. Include item numbers where applicable.
• Supporting photos
  Optional photo evidence for item condition and pre-existing damage.

Customer and Crew Acknowledgement

• Customer acknowledgement
  Customer confirms the inventory and condition notes were reviewed at pickup.
• Crew lead acknowledgement
  Crew lead confirms the inventory and condition notes were completed at pickup.
• Additional comments