Appendix E: Consultation Preparation Checklist Template for Tribes and Museums

Appendix E
CONSULTATION PREPARATION CHECKLIST TEMPLATE

Name of facility/institution and department:

Name and title of contact person:

Phone, fax and email address for contact person:

Is protective gear available for use by visitors? If yes, please indicate which are provided (specify type and/or materials for each):

___smock or lab coat

___gloves

___face protection

Identify specific items which will be examined during the consultation (use i.d. numbers if known):

List chemicals or other known substances which may have been applied to the artifacts:

Method of application:

Date(s) of application (approximate if not certain):

Source and date of information:

-verbally from current staff (include names and titles)

-verbally from former staff (include names and titles)

-written document (specify type and attach copy if possible)

-anecdotal information

This information was compiled by:
Name:
Title:
Date: