Gallery Loan Artwork Condition Form
General Information
Gallery Name
Borrower Name
Date
Contact
Loan Number
Artwork Information
Artist
Title
Date Created
Medium
Dimensions
Accession/Inventory No.
Condition Report
Component
Condition
Notes/Description
Frame
Good
Fair
Poor
Glass/Glaze
Good
Fair
Poor
Artwork Surface
Good
Fair
Poor
Backing/Stretchers
Good
Fair
Poor
Other
Good
Fair
Poor
Additional Condition Notes
Delivery/Receipt Details
Condition at Departure
Condition at Arrival
Checked by (Name)
Date
Remarks