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Instructions:

  1. Select File | Print on your Web Browser or use the Print link above to obtain a hard copy of this form.
  2. Fill in the form whilst taking an inventory of your property requiring removal.
  3. Fax the completed form to (07) 3219 9191 for an obligation free quote.

NOTE: Should you have any questions regarding this form please call (07) 3219 9111 for assistance.

Your Contact Details

Name  
Company  
Phone No  
Mobile No  
Fax No  
Email  

Pickup Details

Address  
Date  
Phone  
House
2 Storey HiSet LowSet Ground Multi Storey
Driveway
usable for trucks? Yes No
Block
normal level block? Yes No

Delivery Details

Address  
Date  
Phone  
House
2 Storey HiSet LowSet Ground Multi Storey
Driveway
usable for trucks? Yes No
Block
normal level block? Yes No

Household Inventory

Bedroom Room 1 Room 2 Room 3 Room 4 Room 5
  Qty Qty Qty Qty Qty
Baby Bath          
Basket Linen          
Bass't/Stand          
Bed Futon          
Bed Water          
Bed Queen & Mat.          
Bed Double & Mat.          
Bed Single & Mat.          
Bedside Table          
Bookshelf          
Bouncinette          
Box - Blanket          
Box - Toy          
Carpet / Lino          
Chair - Other          
Chair - Office          
Change Table          
Chest Drawers          
Child's Chair          
Child's Table          
Computer          
Cot          
Cot - Collaps          
Desk          
Divan          
Doll's House          
Dressing Table          
Fan          
File Cab          
Guitar          
Hat Stand          
Headbd - Dble          
Headbd - Sgle          
Heater          
Lamp          
Lowboy          
Mattress - Dble          
Mattress - Queen          
Mattress - Sgle          
Mirror          
Mirror - Cheval          
Playpen          
Pram          
Sewing Machine          
Sewing Table          
Shoe Rack          
Stereo          
Stool          
Storage Bin          
Stroller          
Suitcase          
Table          
Tallboy          
Television          
Towel Rail          
Valet          
Video Recorder          
Wardrobe 6'          
Wire Drawers          
Portarobe          
Std Carton          
Book Carton          
Picture Ctn          
TOTAL          

 

Lounge QTY Dining QTY
Bookcase   Bookshelf  
Bookshelf   Buffet  
Bureau   Chair Carver  
DVD Player   Chair Dining  
Entertainment Unit   China Cabinet  
CD Rack   Crystal Cabinet  
Chair arm   Sideboard  
Chair Lounge   Table Dining  
China Cabinet   Standard Ctn  
Crystal Cabinet   Book Ctn  
Desk   Picture Ctn  
Heater   Wine Rack  
Lounge Suite   Family QTY
Magazine Tidy   Bar  
Organ   Bookshelf  
Piano   Chair  
Piano Stool   CD Rack  
Sofa   Desk  
Standard Lamp   DVD Player  
Stereo   Entertainment Unit  
Stereo Cabinet   Stereo  
Stereo Speakers   Stereo Cabinet  
Table - Dining   Stereo Speaker  
Table Coffee   Table Coffee  
Table Occasional   Table Dining  
Television   Table Occassional  
Video Recorder   Television  
Wall Unit   Video recorder  
Standard Ctn   Standard Ctn  
Book Ctn   Book Ctn  
Picture Ctn   Picture Ctn  
Study QTY Hall QTY
Bookshelf   Chair  
Chair   Grandfather Clock  
Chair Arm   Hall Stand  
Computer   Hall Table  
Credenza   Mirror  
Desk   Standard Ctn  
Desk Computer   Book Ctn  
Desk Return   Picture Ctn  
Filing Cabinet   Kitchen QTY
Standard Ctn   Cabinet  
Book Ctn   Chair  
Laundry QTY High Chair  
Airer   Dishwasher  
Brooms   Freezer  
Cabinet   Fridge  
Dryer   Microwave  
Ironing Board   Stool  
Laundry Basket   Table  
Laundry Trolley   Tidy  
Linen Basket   Standard Ctn  
Stool   Book Ctn  
Washing Machine      
Standard Ctn      
Book Ctn      

 

Outside / Garage QTY Sundries QTY
Barbeque   Bag  
BBQ Setting   Beach Umbrella  
Bicycle   Boxes Sml PBO  
Bin   Boxes Med PBO  
Blower Vac   Boxes Lge PBO  
Car Roof Rack   Camp Bed  
Chair   Camp Stove  
Chair Stack   Child Chair  
Cube   Child Table  
Cupboard   Doll's House  
Dog Bed   Exercise Bike  
Drum   Filing Cab  
Esky   Fishing Rods  
Folding Chair   Golf Bag/Bug  
Folding Lounge   Guitar  
Fridge   Play Clam  
Garden Hose   Sewing Machine  
Garden Seat   Suitcase  
Garden Tools   Surf Ski  
Ladder   Table Tennis Table  
Ladder Extension   Tent  
Ladder Step   Tent Poles  
Lounger   Toy Car  
Mower & Catch   Toy Pram  
Pot   Trike  
Pot Plants Sml   Trunk  
Pot Plants Med   Vacuum Cleaner  
Pot Plants Lge   Walking Machine  
Saw Horse   Weight Bar  
Shelving Metal   Weight Bench  
Shelving Wood   Windsurfer  
Slippery Slide   Xmas Tree  
Swing (Dis)      
Table      
Toolbox      
Trampoline      
Wardrobe      
Wheelbarrow      
Wipper Snipper      
Workbench      
Standard Ctn      
Book Ctn      

 

Miscellaneous / Special Insrtuctions QTY
   
   
   
   
   
   
   
   

Packing

An important part of your removal is the packing of your household effects (eg. books, crockery, china, clothes, glassware, linen, etc.). 

Do you require the removalist to complete all or some of the packing? YES NO

If you require the removalist to complete all of the packing please indicate your estimate of packing containers required using the description of the containers as listed below to guide your estimate.

If you require the removalist to complete some of the packing, what do you require the removalist to pack? (eg. China and glassware in lounge, complete contents of kitchen.)

I require the following items to be packed by the removalist.....

Miscellaneous / Special Insrtuctions QTY
   
   
   
   
   
   
   
   

If you are completeing the entire packing or only part, please indicate the number of cartons YOU will be packing in the PBO (packed by owner) column in the list of Packing Containers required below.

Carton Description No. Required No. PBO
Portarobe
   
For hanging cothes on their existing hangers. 500cm hanging rail.
Standard Ctn
   
For packing crockery, china, clothes, glassware, hand tools etc. 45cm length x 45cm depth x 75cm height.
Book Ctn
   
For packing books, papers, CD's, LP records, wine etc.  35cm lenght x 35cm depth x 40cm height.
Picture Ctn
   
For packing poster size pictures, paintings, mounted posters etc. 80cm length x 10cm depth x 95cm height.

Insurance

Just as you insure your possessions against loss or damages while they are located in your home it is advisable to consider insurance cover while they are in the care of the removalist.

The two types of insurance generally available are transit insurance and full comprehensive insurance.

Transit insurance is a major perils insurance generally covering loss by fire, collision, overturning and flood while located on the conveying vehicle.

Full comprehensive insurance generally covers loss or damage to your furniture and effects from the time the removalist commences your removal until your furniture and effects are delivered.

Conditions and coverage will vary from removalist to removalist. You may also obtain insurance from your own insurers or I can direct you to an insurance broker who specializes in that area.

Insurance Type    None   /  Transit   /   Full Comprehensive (please circle)
Value

 

CLIENT'S SIGNATURE DATE

 

 

 

ANY ITEMS NOT INCLUDED IN THE ABOVE INVENTORY MAY ATTRACT ADDITIONAL CHARGES


Removal Brokers Queensland
Phone: (07) 3219 9111
Email: info@removalbrokers.com.au