Fine Art Loan

Campus

Select or enter value

Department

Contact Name (First & Last)

Contact Phone

Contact E-Mail

Loan Information

Incoming/Outgoing

Please select incoming if the art is being loaned to LSU. Please select outgoing if LSU is the lender.

Incoming

Outgoing

Loan Start Date

Loan End Date

Name of Exhibition

Exhibition Start Date

Exhibition End Date

Reason for Loan

(exhibition, research, classroom, etc.)

Number of Objects

Total Value of Objects

Highest Value of Single Object

Enter the value of the highest valued object.

Where will the loan be located?

Incoming Loan

Incoming - Building Name

Incoming - Room Number

Outgoing Loan

Outgoing - Location Address

Outgoing - Location City

Outgoing - Location State

Select or enter value

Outgoing - Location Zip

Loan agreement agreed to and signed by Owner/Lender?

Yes

If agreement is not signed, why not?

Lender Information

Is a certificate of insurance required by Owner/Lender?

A certificate will only be sent if "Yes" is selected.

Yes

Name of Lender

Contact Name

Street Address

City

State

Select or enter value

Zip

Phone Number

E-Mail

Special Instructions

List any special instructions (such as: entity requires that they be listed as "Loss Payee," alternative certificate delivery instructions, certificate is needed immediately, etc.)

File Attachments

Please attach completed Loan Agreement and other supporting documents.

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