Museum Temporary Custody Form
Document the temporary transfer and custody of museum objects or artifacts. Please complete all sections accurately.
Object/Artifact Identification
*
Detailed Description of Object/Artifact
*
Owner/Depositor Full Name
*
First Name
Last Name
Owner/Depositor Contact Information
*
Recipient (Museum Staff) Name
*
First Name
Last Name
Date of Transfer to Museum
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Purpose of Temporary Custody
*
Condition of Object at Time of Transfer
*
Storage Location in Museum
*
Expected Return Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: