Name *

Street *

City *

State *

Zip *

If location differs from above address, cite here

Private owner name and street address citations can be restricted; only description and city/state location of work need be entered into database. If you prefer this option check here  

Please provide as much as possible of the following descriptive information:

Artist * (last name, first or indicate if unknown)

Title of the work * (indicate if unknown)

Former title (if exhibited under variant title)

Execution date (if approximate, precede with circa)

Media

oil

pastel

watercolor

gouache

tempera

other

Support

canvas

paper

wood panel

ivory

board

other

Dimensions (include unit of measure)

Height     Width  

The above measurements are actual size approximate size

Check here if the work is a mural miniature

Inscriptions/markings

Is the work signed? yes no unable to determine

Is the work dated? yes no unable to determine

Please record any signature and other inscriptions and their locations

Subject matter (briefly describe theme of painting or attach photograph)

Additional Information (optional)

Please provide additional information that might be helpful to a researcher, such as provenance or former owner/locations; biography of an artist or a portrait subject; historical, commission or patronage information; and major exhibitions in which the work appeared.

Image

If possible, upload a photograph (.jpg, .gif) of the painting with this form. The photo will be available to researchers who visit our office, and will appear in our online database.

Attention to