Art Restoration Loan Authorization Document
Artwork Information
Title of Artwork
Artist
Date
Medium
Dimensions
Accession Number
Owner/Lender Information
Name
Address
Email
Phone
Restoration Details
Restorer / Institution
Restoration Start Date
Expected Return Date
Scope of Restoration
Authorization
I hereby authorize the above-named restorer or institution to perform the specified restoration work on the artwork described in this document. Special instructions or conditions:
Owner/Lender Signature
Date
Restoration Representative Signature
Date