Information Request Form

CATALOGUE RAISONNÉ SUBMISSION FORM

To register your work for consideration for the catalogue raisonné, please complete and submit this form along with visual documentation.

Please use one form for each artwork in your collection.

We have begun the research phase of this multi-year project and appreciate your support. We will review your information upon receipt and will either file your information in the archives or contact you if further information is needed. All information provided will be strictly confidential.

Please email us with any questions.
Email: art@hackettmill.com
Title of work
Date of Work
Artwork Dimensions
Height
Artwork Dimensions
Width
Medium of Work

Oil on CanvasPen/Ink on PaperGouache on PaperGraphite on PaperOther
If “Other” please describe
Is the work signed?

YesNo
Location of signature

FrontBack
Are there any inscriptions or labels on the back?

YesNo
If yes, please transcribe information or submit photo documentation
When did you acquire this work?
From whom did you acquire this work?
Provenance information if known
Exhibition history if known
Publication history if known
Location of current work
If we need to photograph the work for the catalogue raisonné archives, would the work be available for viewing in person?

YesNo
Please provide your contact information

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail
example@example.com
Phone Number

Area CodePhone Number
Your collection credit for the catalogue raisonné (e.g. your name or “Private Collection”)
Include city in credit?

YesNo
Include state in credit?

YesNo
Supporting documentation (please check those attached)

Photograph(s) of frontPhotograph(s) of backRelevant documentation (receipt, letter, provenance information, etc…)
Other
Should be Empty: