Local Inventory Form

Personal Information

Full Name

Email

Phone

Best Time to Call

Moving Information

Moving From

Address (Moving From)

City (Moving From)

Select State (Moving From)

Zip (Moving From)

Job Type (Moving From)

Type of Space (Moving From)

Elevator or Stairs (Moving From)

(please include number of interior and exterior stairs)

Approximate Distance in Feet from Parking Lot to Front Door of Home/Apartment (Moving From)

Bedrooms in Household (Moving From)

Moving To

Address (Moving To)

City (Moving To)

Select State (Moving To)

Zip (Moving To)

Type of Space (Moving To)

Elevator or Stairs (Moving to)

(please include number of interior and exterior stairs)

Approximate Distance in Feet from Parking Lot to Front Door of Home/Apartment (Moving To)

Approximate Date of Move

How did you hear about us?

Has anyone occupying the household being moved been diagnosed, or showing symptoms of COVID-19?

You need to select an item to continue

NEXT STEP

Household Inventory Items (Living room/Dining and Kitchen)

Please enter QTY in number, do not put X in the box .Leave it as 0 if item not included in your inventory.

Living Room

Sofa (50 CU)

Sofabed (50 CU)

Loveseat (35 CU)

Overstuffed Chairs (25 CU)

Rocking Chair (12 CU)

Straight Chair (10 CU)

Recliner (25 CU)

Coffee Table (5 CU)

End Table (5 CU)

Glass End Table (5 CU)

Glass Coffee Table (15 CU)

Sofa Table (10 CU)

Floor Lamps (3 CU)

Table lamps (3 CU)

Small Area Rugs (5 CU)

Large Area Rugs (10 CU)

Television (25 CU)

Television stand (10 CU)

Entertainment Center (50 CU)

Stereo Compartment (15 CU)

Wall Unit (20 CU)

Grandfather clock (15 CU)

Painting & Pictures (5 CU)

Small Trunk/Chest (8 CU)

Large Trunk/Chest (12 CU)

Small Book Shelves (12 CU)

Large Book Shelves (15 CU)

DINING ROOM

Hutch (20 CU)

Curio (15 CU)

Buffet (25 CU)

Dining Table (25 CU)

Glass Table (30 CU)

Dining Chairs (5 CU)

China Cabinet (20 CU)

Server (15 CU)

Rugs/Carpet (5 CU)

KITCHEN

Kitchen Chairs (5 CU)

Microwave(10 CU)

Microwave Stand (5 CU)

Bakers Rack (10 CU)

Cabinet (30 CU)

Ironing Board (2 CU)

Vacuum Cleaner (5 CU)

Stool (3 CU)

Small Table

Large Table

Picture/Video Attachment

Total CU (Living room/Dining and Kitchen)

Total PCS (Living room/Dining and Kitchen)

You need to select an item to continue

NEXT STEP
return to previous step

Household Inventory Items (Boxes)

Please enter QTY in number, do not put X in the box .Leave it as 0 if item not included in your inventory.

Boxes

Book boxes 1.5 cu/ft (2 CU)

Medium box 3.1 cu/ft (3 CU)

Large boxes 4.5 cu/ft (5 CU)

Linen boxes 6.1 cu/ft (6 CU)

China box dishpack 5.2 (5 CU)

Wardrobe boxes 10 cu/ft (10 CU)

Small Suitcase (5 CU)

Medium Suitcase (8 CU)

Large Suitcase (10 CU)

Small Plastic containers (5 CU)

Medium Plastic containers (8 CU)

Large Plastic containers (10 CU)

Do you need boxes?

Total CU (Boxes)

Total PCS (Boxes)

You need to select an item to continue

NEXT STEP
return to previous step

Household Inventory Items (Bedroom/Nursery and Garage Outdoor)

Please enter QTY in number, do not put X in the box .Leave it as 0 if item not included in your inventory.

Bedroom

King Size Bed (75 CU)

Queen Size Bed (55 CU)

Double/Twin Bed (50 CU)

Single/Day Bed (40 CU)

Rocking Chair (12 CU)

Television (25 CU)

Paintings/Pictures (5 CU)

Mirrors (10 CU)

Small Book Shelves (15 CU)

Large Book Shelves (20 CU)

Armoire/Wardrobe (50 CU)

Nightstand (5 CU)

Chests (15 CU)

Dressers/Chests Small (25 CU)

Dressers/Chests Medium (30 CU)

Dressers/Chests Large (50 CU)

Double Dresser/Chest (50 CU)

Triple Dresser/Chest (65 CU)

Table Lamp (3 CU)

Floor Lamps (3 CU)

Nursery

Crib (10CU)

Baby Carriage (8 CU)

High Chair (5 CU)

Toy Chest (5 CU)

Changing Table (15 CU)

Large Toys (8 CU)

Garage/Outdoor

Work Bench (20 CU)

Bench (15 CU)

Lawn Mower (15 CU)

Riding Lawn Mower (35 CU)

Picnic Table (20 CU)

Deck Furniture (8 CU)

Hoses (5 CU)

Storage Shelves (5 CU)

Small Grill (10 CU)

Large Grill (10 CU)

Small Ladder (10 CU)

Large Ladder (10 CU)

Leaf blower (2 CU)

Garden Tools (3 CU)

Small Tool Boxes (5 CU)

Medium Tool Boxes (5 CU)

Large Tool Boxes (5 CU)

Wood Chair (8 CU)

Plastic Chair (8 CU)

Aluminum Chair (8 CU)

Exercise Bike (15 CU)

Exercise Machine (35 CU)

Bike (5 CU)

Card Table (10 CU)

Pool Table (50 CU)

Ping Pong Table (20 CU)

Total CU (Bedroom/Nursery and Garage Outdoor)

Total PCS (Bedroom/Nursery and Garage Outdoor)

You need to select an item to continue

NEXT STEP
return to previous step

Household Inventory Items (Large Items/Appliance, Misc and Office)

Please enter QTY in number, do not put X in the box .Leave it as 0 if item not included in your inventory.

Large Items/Appliances

Washer (35 CU)

Stove (30 CU)

Dryer (25 CU)

Air Conditioning Unit (12 CU)

Freezer (50 CU)

Big Screen TV (25 CU)

Refrigerator (50 CU)

Baby grand piano (70 CU)

Upright piano (60 CU)

Home Office

3 Door File Cabinet

Small Desk (10 CU)

Desk/hutch (20 CU)

Chair (10 CU)

Book Case (13 CU)

Computer/Printer/Fax (5 CU)

Secretary Desk (35 CU)

File Cabinet/2 doors (20 CU)

File Cabinet/4 doors (26 CU)

Miscellaneous Items

Golf Bag (5 CU)

Trash Can (5 CU)

Basket/Hamper clothes (5 CU)

Fish tank (5 CU)

Fan (5 CU)

Umbrella (3 CU)

Cabinet Sewing machine (8 CU)

Portable Sewing Machine (8 CU)

Small Statue (5 CU)

Medium Statue (8 CU)

Large Statue (12 CU)

Hand/electric power tool (5 CU)

Outdoors Child playing slide set (10 CU)

Umbrella Stand (10 CU)

Plant Stand (5 CU)

Additional Information

Please include any information not listed:

Total CU (Large Items/Appliance, Misc and Office)

Total PCS (Large Items/Appliance, Misc and Office)

You need to select an item to continue

NEXT STEP
return to previous step

Additional Information

Storage

Storage Do you need storage?

If yes, for how long? In day(s):

or In month(s):

Please try to provide us with the following information.

1.Try to estimate the miles and the driving time between your current location to the new location.

2. Let us know if you would take care of the packing yourself or need us to do it for you.

3. If you are moving from a building with elevator or to a building with elevator, please specify the distance between the freight elevator to your apartment as well as the distance between the loading deck to the freight elevator as well if you are moving from a storage or into a storage, please specify if there is any elevator or long hallway between the truck to your storage unit.

4. If you mention on your inventory end table, coffee table, dining table, please specify by the additional notes if any of them have a glass top.

5. If you have any items that need to be moved and are not mentioned in the inventory list, please send us any additional information about those items that would help us in preparing this quote: and finally;

6. Where did you hear from us? Through Vanlines Relocation Brokerage, Friends, search engines (which one?)

Other source? Please be specific:

Please try to provide us with the following information:

You need to select an item to continue

NEXT STEP
return to previous step

My Step

You need to select an item to continue

NEXT STEP
return to previous step