Temporary Custody Receipt
This form is used by the Laurel Historical Society to establish temporary physical custody of items before the decision is made to formally accession the items into our permanent collection. This form may be completed online but arrangement to drop off the items at the Laurel Museum must also be made.

Please print a copy of this form and bring it with your items for drop off.

Please direct any questions to info@laurelhistoricalsociety.org

This is to acknowledge receipt of the items listed below by the Laurel Historical Society & Museum from:
Sign in to Google to save your progress. Learn more
Name *
Address *
Phone Number *
Email address *
The items listed below are left in the custody of the Laurel Historical Society to be considered as: *
Disposition if not accepted for accession: *
Items and descriptions *
Please fill in a brief description of each item, to include dates and materials, if known. Include any relevant history or provenance.
Received from: *
Your full name typed below will serve as an authorized signature on this form.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Laurel Historical Society. Report Abuse