Historical Document Declaration Form
Please complete the Historical Document Declaration Form to provide detailed information about your historical document for archival and records purposes.
Document Title
*
Document Type
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Please Select
Manuscript
Letter
Map
Book
Photograph
Official Record
Newspaper/Periodical
Other
Approximate Creation Date or Date Range
*
Creator/Author or Originating Institution
*
Place of Origin
*
Current Owner or Custodian
*
How was the document acquired?
*
Please Select
Inherited
Purchased
Donated
Institutional Transfer
Found
Other
Physical Format and Materials
*
Please Select
Paper
Parchment/Vellum
Photographic Print
Microfilm
Digital Media
Other
Dimensions or Number of Pages
*
Briefly describe the document's historical significance or context
*
Submit Declaration
Should be Empty: