Consigned Artwork Insurance Information Sheet
Gallery/Consignee Information
Gallery/Consignee Name
Address
Contact Person
Email
Phone
Artist/Consignor Information
Artist/Consignor Name
Contact (Email/Phone)
Artwork Information
Title
Medium
Dimensions
Year
Insured Value
Number of Items
Insurance Details
Insurer
Policy Number
Coverage Start Date
Coverage End Date
Conditions & Exclusions
Notes