Reproduction Permissions Request Form (Worcester Art Museum)
If you would like to use photography of art objects located within the permanent collection of the Worcester Art Museum, please fill out the form below.

Required fields will contain a red asterisk *
The form cannot be submitted without the completion of all required fields.

Once the form has been sent, the Assistant Registrar for Image Management will contact you to discuss your request further.

Thank you,
Worcester Art Museum

Name:
First and Last
Your answer
Company Name
Your answer
Address:
Your answer
Telephone:
Your answer
Email:
Your answer
Fax:
Your answer
Items to Reproduce:
Below, please provide all information for any and all items from our collection that you wish to reproduce. This included the Artist, Title and Accession Number for the object (if known).
Your answer
Items to Reproduce:
Below, please provide all information for any and all items from our collection that you wish to reproduce. This included the Artist, Title and Accession Number for the object (if known).
Your answer
Items to Reproduce:
Below, please provide all information for any and all items from our collection that you wish to reproduce. This included the Artist, Title and Accession Number for the object (if known).
Your answer
Image Format:
Please select all that apply to your request.
Required
What is the intended use of the item(s)?
Please check all that apply:
Required
Will this product be published via OpenAccess?
How will the image(s) be used?
Please select the type of publisher:
Required
How will the image(s) be used?
Please select the type of rights:
Required
How will the image(s) be used?
Please select the location of the image in your product:
Required
How will the image(s) be used?
Please select the type of image you need:
Required
Publication Information - Title
In the following fields, please provide all information pertaining to the product of your request. Please provide rough dates if necessary and a rough print run number to better guide our pricing
Your answer
Publication Information - Author/Creator
In the following fields, please provide all information pertaining to the product of your request. Please provide rough dates if necessary and a rough print run number to better guide our pricing
Your answer
Publication Information - Publisher
In the following fields, please provide all information pertaining to the product of your request. Please provide rough dates if necessary and a rough print run number to better guide our pricing
Your answer
Publication Information - Publication Date
In the following fields, please provide all information pertaining to the product of your request. Please provide rough dates if necessary and a rough print run number to better guide our pricing
Your answer
Publication Information - Print Run
In the following fields, please provide all information pertaining to the product of your request. Please provide rough dates if necessary and a rough print run number to better guide our pricing
Your answer
Publication Information - Language
Please provide the language(s) in which the product will be produced in.
Your answer
When do you need the image(s) by?
Please allow 2-3 weeks for us to address your request. A Rush Fee of $75 may apply (based on requesters needs and deadline).
Your answer
Further Questions/Comments:
If you have any additional questions or specifications for your request, please provide such information in the text field below.
Your answer
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