Census 2020 Contact Form                              for City, County, and Tribal Government
Please provide us with your contact info -- and help us identify key Census 2020 contacts in your government agency -- so that we can provide up-to-date, helpful information to the right people in your organization.

This survey should take about 5 minutes. We will use the contact info you provide to keep in touch about upcoming Census 2020 programs and information.
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Your Contact Information
First Name *
Last Name *
Job Title *
Phone Number *
Email *
Your jurisdiction is a: *
Your jurisdiction name is:                                 *
**Note: Example formatting: City of Bloomington, Township of Lutsen, County of Faribault, Leech Lake Indian Reservation
If your jurisdiction is not a county, in which county is it primarily located?
Has your jurisdiction registered to participate in the Census Bureau’s Local Update of Census Addresses (LUCA) Program? *
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