RCGS Information: Research Request Form  

This form contains fields for various types of information to facilitate an efficient and worthwhile assessment of your research project. You don't have to have information in all fields. However, it is essential that you complete those marked with an asterisk (*) in red.

PART 1 - Your Personal Details
* Required fields in red.

* Name:
* E-mail Address:
* Street Address:
* City, State & Zip:
PART 2 - About the ancestor you wish to research

* Ancestor's Name:
Occupation:
Religion:
* Approx. Birth Date:
Birthplace: town, twp or county
Approx. date arrived in this area:
Death Date:
Death Place:
Burial Place:
Spouse's Name:
Approx. Marriage Date:
Name of Child 1:
Name of Child 2:
Name of Child 3:
Name of Other Children:
Father's Name: forename & surname
Father's Occupation:
Mother's Name: forename & surname if known
* Type of Information Requested
Thank you for taking the time to complete this form.