Jewelry Sales Receipt for Insurance Purposes
Forms Instruction Guide details:
This form can be used by the insured's selling jeweler to document the price paid for the item and to provide necessary descriptive information about sold jewelry (with or without diamonds or colored stones) for insurance purposes.
This form is not an appraisal. When an appraisal is required, use JISO 78 for a single item of jewelry or JISO 79 for two items of jewelry.
This form is intended to be used by jewelers who do not meet the higher education and training requirements set forth in the JISO 78 and 79 forms. The descriptive content is the same however, providing necessary information for the scheduling of typical jewelry items of lower value where an appraisal is not required by the insurance underwriter.
Month/day/year of the sale.
Blank Area (next to and above CLIENT'S NAME AND ADDRESS)
This area is reserved for the optional imprinting of a logo, name and address and other information of the selling jeweler.
Client's Name and Address
Name and mailing address of the person whose item(s) are listed in the form..
Item ____ of ____
Item number of the total items included within this sales receipt..
Class Code #
Class codes allow for systematically tracking major jewelry groups. The coding facilitates determining actual loss experience, thereby creating a mechanism for more effective exposure rating for different jewelry groups (gold items, diamond jewelry, etc.). See Code description that follows below.
This short class designation aids in locating specific jewelry items on large schedules.
- Code numbers and descriptions are from Jewelry Inventory and Sales Classification Manual — widely used in the jewelry industry.
- This classification system is also included in Jewelry Insurance: The Underwriting and Claims Reference Manual.
Indicate the net price paid (excluding sales tax) at this store.
All key information necessary for valuation of items made with precious metal (gold, silver, platinum) is contained in the described fields. This enables underwriting to determine insurance to value and assists adjusters in calculating replacement/actual cash value.
This is similar in scope to the above mounting format, except that it provides necessary stone specifics for determination of value. Multiple stone entries are allowed so like kind stones can be grouped together.
This area is reserved for other information the appraiser feels is necessary to fully describe the item.
Color Photograph Attached
Provides a visual representation of the item and indicates that a color photo exists.
DESCRIPTIONS OF ARTICLES
At a minimum this sales receipt evaluation shall provide the following item descriptions where applicable:
- Mounting: karatage/purity and color of metal type, trademark, workmanship, item type, size and/or millimeter and weight in grams or pennyweight.
- Stones: number of stones, how set, shape and type, GIA grading (including cutting information, MM x MM x MM x MM, color, clarity), total and average weight. A cutting grade and all necessary stone percentages and angles are stated.
- If Jadeite Jade include: texture, transparency and polish;
- If Opal include: potch % play of colors involved, intensity, pattern and background color;
- If Pearl include: cultured or natural, freshwater or saltwater, origin, shape, color and overtone, luster, nacre, blemish, number of pearls and millimeter sizing, clasp information (see mounting and stone requirements);
- If Watch include: manufacturer, style number, serial
number, type, movement and number of jewels (if applicable), features
and options; case information (manufacturer, style and serial number);
strap/bracelet information (manufacturer and style number); bezel and