Census Request Form


If your not sure what to enter please select the "I have no clue, please help?" and I will contact you when I receive the form.

Contents


  • Please provide the following contact information:    

    First Name
    Last Name
    Street Address
    Address (cont.)
    City
    State/Province
    Zip/Postal Code
    Country
    Home Phone
    E-mail
  • Please enter subjects information:

    First Name
    Last Name
    Middle Initial
     
  • Select any of the following census years that apply:

    1810                 1820                 1830                 1840               
    1850                 1860                 1870                 1880               
    1890 Veterans only*  1900                 1910                 1920               
    1930                 
    
     

    Please select a Borough, Ward, or Township they lived in. If you have the name of a place where they lived but do not know if it is a township, borough or ward, please select "I have no clue, please help".

     Please select only one response from the three, not one from each.

    Borough they lived in:

    Ashville
    Barnesboro
    Brownstown
    Carrolltown
    Cassandra
    Chest Springs
    Conemaugh
    Coopersdale
    Cresson
    Daisytown
     
    Dale
    East Conemaugh
    Ebensburg
    Ehrenfeld
    Ferndale
    Franklin
    Gallitzin
    Geistown
    Hastings
    Lilly
     
    Lorain
    Loretto
    Millville
    Nanty Glo
    Patton
    Portage
    Prospect
    Sankertown
    Scalp Level
    South Fork
     
    Southmont
    Spangler
    Summerhill
    Summitville
    Tunnelhill
    Vintondale
    Westmont
    Wilmore
    I have no clue, please help?

                OR

  • Ward they lived in:

    1 = Downtown (west Franklin & Main Streets)
    2 = Downtown (south Franklin & Main Streets)
    3 = Downtown (east Franklin & Main Streets)
    4 = Downtown (north Franklin & Main Streets)
    5 = Kernville (north of Dibert Street)
    6 = Kernville (south of Dibert Street)
    7 = Hornerstown
    8 = Osborne and Roxbury
    9 = Old Conemaugh Boro (west Coal Street)
    10 = Old Conemaugh Boro (east Coal Street)
    11= Woodvale
    12 = Prospect (east)
    13 = Prospect (west)
    14 = Minersville and Rosedale
    15 = Cambria City (south to City)
    16 = Cambria City (north to Delaware Avenue)
    17 = Moxham and Walnut Grove
    18 = Cambria City
    19 = Morrellville
    20 = Oakhurst
    21 = Coopersdale
    I have no clue, please help?

                OR

  • Township they lived in:

    Adams
    Allegheny
    Barr
    Blicklick
    Cambria
    Carroll (now East & West)
    Chest
    Clearfield
    Conemaugh
    Cresson
    Croyle
    Dean
    Elder
    Gallitzin
    Jackson
    Munster
    Portage
    Reade
    Richland
    Stoneycreek
    Summerhill
    Susquehanna
    Taylor (now East, West & Middle)
    Washington
    White
    Yoder (now Lower & Upper)
    I  have no clue, please help?




  • Any additional information you can think of ... ? (Not required but recommended)



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