Genealogical Information Research Request FormPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 3Date / Time of request *DateTimeName of requester *FirstLastEmail of requester *Phone number of requester *What is the best way to reach you?EmailPhoneMailAddress to send research to: *Address Line 1Address Line 2CityState / Province / RegionPostal Code--- Select country ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryResearch Fee AuthorizationResearch Fees are $20.00 / Hour Copies and Postage are extra. How many hours of research do you want to authorize?TotalPrice: $20.00Do you want to authorize additional hours if merited?YesNoContact Me for AuthorizationNumber of additional hours authorized:Total for Additional HoursSquare *CardName on CardNextGenealogical Information Fill in the information for each record you are seeking. Feel free to skip over a field if it is not known or not applicable to the research you are looking for. Please select the genealogical record(s) you are seeking: *BirthMarriageDeathBirth of SpouseDeath of SpouseOther (make sure to include specifics in following the section: Research Question(s) and context of your request)Research Question(s) and context of your request *Please describe to the best of your ability your research question(s). What type of information are you trying to find? What are the specific questions you hope we can answer? Who is the main person or family you’re researching? (e.g., birth/death dates, marriage records, family relationships, land records, military records, photos, etc.)Name of AncestorBirthAncestor Birth: Date / TimeDateTimePlease enter the date (if known) of when your ancestor was born (if you only know the year just enter it as 01/01/####) #=yearAncestor Birth location: City, County, State, CountryMarriageAncestor Marriage: Date / TimeDateTimePlease enter the date (if known) of when your ancestor was married (if you only know the year just enter it as 01/01/####) #=yearAncestor Marriage location: City, County, State, CountryDeathAncestor Death: Date / TimeDateTimePlease enter the date (if known) of when your ancestor passed away (if you only know the year just enter it as 01/01/####) #=yearAncestor Death location: City, County, State, CountryOther information about ancestor:Birth of SpouseName of Spouse (maiden name if applicable and known) *FirstLastBirth of Spouse: Date / TimeDateTimePlease enter the date (if known) of when the spouse was born (if you only know the year just enter it as 01/01/####) #=yearBirth of Spouse: City, County, State, CountryDeath of SpouseDeath of Spouse: Date / TimeDateTimePlease enter the date (if known) of when the spouse passed away (if you only know the year just enter it as 01/01/####) #=yearDeath of Spouse location: City, County, State, CountryOther information about spouse of ancestor:Father of AncestorFather of Ancestor: NameFirstLastFather of Ancestor: Date of BirthDateTimeFather of Ancestor: Date of DeathDateTimeFather of Ancestor: Marriage DateDateTimeOther information about Father of Ancestor:Mother of AncestorMother of Ancestor (Maiden Name if known): Name *FirstLastMother of Ancestor: Date of BirthDateTimeMother of Ancestor: Date of DeathDateTimeOther information about Mother of Ancestor:Other information about anything unrelated to previous fields:Other: Date / TimeDateTimeOther Date/Time: What/who does this refer to?Other Location: City, County, State, CountryOther Location: What/who does this refer to?Your Research So FarAncestry.comFamilySearchFindAGraveNewspapers.comVital Records (County/State)U.S. Census RecordsOther (please specify)Have you already searched any of the following?Other (Specify here):File Upload Drag & Drop Files, Choose Files to Upload You can upload up to 5 files. 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