Department of State Parks & Cultural Resources
Wyoming State Historic Sites
Telephone:
Fax: (307
e-mail:
Accession # _____________
DONOR FORM
I/We,___________________________________________ warranting that the below listed objects are
owned solely by me/us, do hereby give, grant and convey to the State of Wyoming all of my/our
right, title, and interest in and to them. Said gift shall be irrevocable and shall be binding
upon the heirs, legal representatives, successors and assignees of the donor. I/We have read the
policy information on the reverse of this form and agree to abide by the terms therein.
DESCRIPTION
We accept the above described objects given to the Department of State Parks and Cultural
Resources on this
___ ____ day of ______________ 20
.
___________________________________
Donor Signature
_________________________________
___________________________________
Donor Address
_________________________________
Date
___________________________________
_________________________________
Division Administrator
__________________________________
Donor Telephone
________________________________
Date
___________________________________
Date
The purpose of the Department of State Parks and Cultural Resources is to further the appreciation
and understanding of the social and cultural history, prehistory, and natural history of the State
of Wyoming. Objects will be considered for acquisition to the permanent collection if the
following criteria are met:
a) They relate to the natural, social, cultural, political, or economic
history or prehistory of the peoples of Wyoming; or are representative of the
types of material culture common to Wyoming.
b) They are in good physical condition.
c) They are of a size that the Department can provide proper storage, protection,
conservation and preservation.
d) They are significantly different in history, design, or condition from similar
objects already in the collection.
e) They are of value in relating the history of Wyoming and its people to current
and future generations
f) They are offered by a donor with no restrictions as to research, exhibit,
loans, or conservation.
DONATIONS
1) Donations to the State of Wyoming cannot be appraised by a staff member.
2) The donor must have clear title to the donated objects. Following acceptance, this
contract shall be signed by the owner, Museum Supervisor, and Division Administrator,
transferring ownership to the Department of State Parks and Cultural Resources of the
State of Wyoming. It is policy to utilize donated objects(s) at the location within the
Wyoming State Museum/State Historic Site system where they can best be interpreted
within existing interpretive plans.
3) Multiple types of object collections are maintained by this agency. The right to
change disposition of donated objects is reserved by the Department of State Parks and
Cultural Resources. The Administrator of the Cultural Resources Division will approve
changes to the collection category.
4) With or without full copyright transfer, the Wyoming Department of State Parks and
Cultural Resources retains the right to reproduce images of the object(s) for
educational, catalog, and/or publicity purposes. This document also acts as a waiver of
rights of attribution. By signing this form, the donor authorizes the Wyoming
Department of State Parks and Cultural Resources, or its designated representatives, to
make modification(s) deemed necessary for the conservation, preservation, or
stabilization of the object(s). If the object(s) is an original work of art, such
modifications may be made provided they do not alter the artist’s original intent.
Derived from: COLLECTIONS MANAGEMENT POLICY for the Wyoming State Museum and
Division of State Parks & Historic Sites Adopted by P&CR Commission, October, 1999.
Applicable Law/Venue
The construction, interpretation, and enforcement of this Donor Form shall be governed by
the laws of the State of Wyoming. The Courts of the State of Wyoming shall have
jurisdiction over this Donor Form and the parties, and the venue shall be the First Judicial
District, Laramie County, Wyoming. The parties intend and agree that the State of Wyoming
the Department of State Parks and Cultural Resources and the Wyoming State Museum do not
waive sovereign immunity by entering into this Form and specifically retain immunity and all
defenses available to them as sovereigns pursuant to Wyo. Stat. Ann. §1-39-104(a) and all
applicable law.
Sovereign Immunity
The State of Wyoming, the Department of State Parks and Cultural Resources and the
Wyoming State Museum do not waive sovereign immunity by entering into this form and each
of them specifically retains all immunities and defenses available to them as sovereigns
or governmental entities pursuant to Wyo. Stat. Ann. §1-39-101, et. seq., and all other
applicable law. Designation of venue, choice of law, enforcement actions, and similar
provisions should not be construed as a waiver of sovereign immunity.
Indemnification
The Donor shall indemnify, defend, and hold harmless the State of Wyoming, the Wyoming
State Museum, and the Department of State Parks and Cultural Resources, and their
officers, agents, employees, successors, and assignees from any and all claims,
lawsuits, losses, and liability arising out of Donor's failure to perform any of
his/hers duties and obligations hereunder.