Form for Individual

Name:

Address:

Home Phone: Work Phone:

E-mail:

Lincoln Documents

(written by or addressed to Abraham Lincoln)

Author	Recipient (or title if it is not correspondence)	Doc. Date	No. of Pages¹	Date Acquired	Special Features/Provenance (faint, damaged, endorsements, etc.)

¹Each side with writing counts as one page.

Shall we list the ownership of the document(s) with your name? or as "private collection"?

Name and address of any other collectors of Lincoln documents whom we should contact for inclusion in this project:

Other Comments:

	a document written in Abraham Lincoln's hand;
	a document printed from an original written in Lincoln's hand (e.g., letters to a newspaper authored by Lincoln);
	a document written by a secretary or assistant but signed by Abraham Lincoln or issued directly under his authority;
	a document reporting Abraham Lincoln's words (e.g., legislative bills and acts, newspaper reports of speeches);
	a document addressed or directed to Abraham Lincoln (either sender's or recipient's copy; either draft or final version);
	a document enclosed with correspondence addressed to Abraham Lincoln or written by Lincoln;
	a document comprising a part of the official record of a particular matter submitted for Abraham Lincoln's review (e.g. military pardon case files).