JISO 805

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.

Code Description
This short class designation aids in locating specific jewelry items on large schedules.

Amount Paid

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.

Optional Description

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.


At a minimum this sales receipt evaluation shall provide the following item descriptions where applicable: