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User Details

First Name

Last Name

Mobile

Email Address

Bedroom 1 Items

Description
Items
Total

Baby Bath

Bassinet & Stand

Bed & Mattress - Double

Bed & Mattress - Folding

Bed & Mattress - King

Bed & Mattress - King Single

Bed & Mattress - Queen

Bed & Mattress - Single

Bedside Table

Bookshelf

Bouncinette

Chairs

Change Table

Chest

Chest of Drawers

Computer

Cot

Cupboard - Bedroom

Desk

Description
Items
Total

Divan / Sofa

Dressing Table

DVD / Video

Lamp

Lowboy

Lowchair

Mattress Double

Mattress Single

Mirror

Playpen

Porta Robe

Pram

Rug / Mat

Stereo

Stroller

Tallboy

TV

Valet

Wardrobe

$ value of additional items to be packed into cartons by removalist

Bedroom 2 Items

Description
Items
Total

Baby Bath

Bassinet & Stand

Bed & Mattress - Double

Bed & Mattress - Folding

Bed & Mattress - King

Bed & Mattress - King Single

Bed & Mattress - Queen

Bed & Mattress - Single

Bedside Table

Bookshelf

Bouncinette

Chairs

Change Table

Chest

Chest of Drawers

Computer

Cot

Cupboard - Bedroom

Desk

Description
Items
Total

Divan / Sofa

Dressing Table

DVD / Video

Lamp

Lowboy

Lowchair

Mattress Double

Mattress Single

Mirror

Playpen

Porta Robe

Pram

Rug / Mat

Stereo

Stroller

Tallboy

TV

Valet

Wardrobe

$ value of additional items to be packed into cartons by removalist

Bedroom 3 Items

Description
Items
Total

Baby Bath

Bassinet & Stand

Bed & Mattress - Double

Bed & Mattress - Folding

Bed & Mattress - King

Bed & Mattress - King Single

Bed & Mattress - Queen

Bed & Mattress - Single

Bedside Table

Bookshelf

Bouncinette

Chairs

Change Table

Chest

Chest of Drawers

Computer

Cot

Cupboard - Bedroom

Desk

Description
Items
Total

Divan / Sofa

Dressing Table

DVD / Video

Lamp

Lowboy

Lowchair

Mattress Double

Mattress Single

Mirror

Playpen

Porta Robe

Pram

Rug / Mat

Stereo

Stroller

Tallboy

TV

Valet

Wardrobe

$ value of additional items to be packed into cartons by removalist

Bedroom 4 Items

Description
Items
Total

Baby Bath

Bassinet & Stand

Bed & Mattress - Double

Bed & Mattress - Folding

Bed & Mattress - King

Bed & Mattress - King Single

Bed & Mattress - Queen

Bed & Mattress - Single

Bedside Table

Bookshelf

Bouncinette

Chairs

Change Table

Chest

Chest of Drawers

Computer

Cot

Cupboard - Bedroom

Desk

Description
Items
Total

Divan / Sofa

Dressing Table

DVD / Video

Lamp

Lowboy

Lowchair

Mattress Double

Mattress Single

Mirror

Playpen

Porta Robe

Pram

Rug / Mat

Stereo

Stroller

Tallboy

TV

Valet

Wardrobe

$ value of additional items to be packed into cartons by removalist

Bedroom 5 Items

Description
Items
Total

Baby Bath

Bassinet & Stand

Bed & Mattress - Double

Bed & Mattress - Folding

Bed & Mattress - King

Bed & Mattress - King Single

Bed & Mattress - Queen

Bed & Mattress - Single

Bedside Table

Bookshelf

Bouncinette

Chairs

Change Table

Chest

Chest of Drawers

Computer

Cot

Cupboard - Bedroom

Desk

Description
Items
Total

Divan / Sofa

Dressing Table

DVD / Video

Lamp

Lowboy

Lowchair

Mattress Double

Mattress Single

Mirror

Playpen

Porta Robe

Pram

Rug / Mat

Stereo

Stroller

Tallboy

TV

Valet

Wardrobe

$ value of additional items to be packed into cartons by removalist

Dining Room Items

Description
Items
Total

Air Cooler

Bookshelf

Buffet / Sideboard

Chair - Other

Corner Stand

Crystal Cabinet

Description
Items
Total

Dining Chair

Dining Room Table

Fan

Rug / Mat

Traymobile

$ value of additional items to be packed into cartons by removalist

Lounge Room Items

Description
Items
Total

Bar

Bean Bag

Bookshelf

Bookcase

Bureau

Chair - Arm

Chair - Other

China Cabinet

Coffee Table

Desk

Divan / Sofa

DVD / Video

Entertainment Unit

Heater

Keyboard

Description
Items
Total

Lamp Stand

Lampshade

Lounge Suite (5 Seat)

Magazine Tidy

Mirror

Occassional Table

Piano

Pouffes

Rug / Mat

Stereo

Stereo Speakers

Stool

TV

Wall Unit

Wine Rack

$ value of additional items to be packed into cartons by removalist

Kitchen Items

Description
Items
Total

Bar Fridge

Cabinet - Kitchen

Dishwasher

Freezer

Fridge

High Chair

Description
Items
Total

Kitchen Chair

Kitchen Table

Microwave

Stool

Tidy

Vegetable Tidy

$ value of additional items to be packed into cartons by removalist

Laundry Items

Description
Items
Total

Airer

Brooms, etc

Clothes Dryer

Cupboard

Ironing Board

Laundry Basket

Description
Items
Total

Laundry Trolley

Linen Basket

Stool

Table - Laundry

Washing Machine

$ value of additional items to be packed into cartons by removalist

Study Items

Description
Items
Total

Bins

Bookcase

Bookshelf

Chairs

Description
Items
Total

Computer

Desk

Filing Cabinet

Rug / Mat

$ value of additional items to be packed into cartons by removalist

Outside Item

Description
Items
Total

Antenna

BBQ

Bicycle

Bins

Blower Vac

Car Ramps (pair)

Card Table

Chairs

Child's Chairs

Child's Table

Compost Bin

Drums

Esky

Fold Chair

Folding Lounge

Garden Hose

Garden Roller

Garden Seat

Description
Items
Total

Garden Tools

Kennel

Ladder

Mower

Pack Rack

Pedal Car

Pot Plants - Large

Pot Plants - Medium

Pot Plants - Small

Swing - Dismantled

Table - Outdoor

Tool Box

Trampoline - Dismantled

Trike

Wheelbarrow

Whipper Snipper

Workbench

$ value of additional items to be packed into cartons by removalist

Sundry Items

Description
Items
Total

Beach Umbrella

Boxes

Cupboard

Doll's House

Filing Cabinet

Fish Tank / Stand

Fishing Rods

Golf Bag / Buggy

Guitar

Outboard Motor

Overlocker

Owner Packed Cartons

Picture - Large

Picture - Medium

Picture - Small

Description
Items
Total

Plastic Tubs

Polisher

Printer

Sawhorse

Sewing Machine

Sewing Table

Skis

Suitcases

Surf Board

Table Tennis Table

Tent / Swag

Trunks

Vacuum Cleaner

Welder

$ value of additional items to be packed into cartons by removalist

Hall Items

Description
Items
Total

Dropside Table

Glory Box

Grandfather Clock

Description
Items
Total

Hall Table

Phone Table

$ value of additional items to be packed into cartons by removalist

Additional Items

Description
Items
Total

Description
Items
Total

Additional Items & Comments

Insurance Requirements

Your current insurance policy number

Your current insurance company

A) Your current policy cover value:

B) The total calculated household insurance value:

C) The total household insurance allowance by employer:

D) The additional household transit insurance cover required:

D = (the greater of A and B) minus C