Geneology Request Form

Name of Requestor*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

E-mail Address*

There is a research fee of $20 per additional hour of research. (1 hour of research is included in the initial genealogy request fee). Please indicate below the maximum number of hours you wish to purchase. Please note; you will only be billed for the amount of time it took to complete the search.*

Please select the type of record you would like to request*

Baptismal Records
(fields with an asterisk (*) must be filled out)

Father's name (if known)

Mother's name, including maiden name (if known)

Name of Baptized Person*

Date of Birth*

City where baptism occurred*

Name of parish (if known)

Ethnicity (German, Polish, etc.)

Additional Information

First Communion Records
(fields with an asterisk (*) must be filled out)

Father's name (if known)

Mother's name, including maiden name (if known)

Name of child*

Approximate date of First Communion*

City where First Communion occurred*

Name of parish (if known)

Additional Information (when/where baptism was administered)

Confirmation Records
(fields with an asterisk (*) must be filled out)

Father's name (if known)

Mother's name, including maiden name (if known)

Name of Confirmed Person*

Approximate date of confirmation*

City where confirmation occurred*

Name of parish (if known)

Additional Information (when/where baptism was administered)

Marriage Records
(fields with an asterisk (*) must be filled out)

Husband's name*

Wife's name*

Approximate date of marriage*

City where marriage occurred*

Name of parish (if known)

Ethnicity (German, Polish, etc.)

Additional Information

Death Records
(fields with an asterisk (*) must be filled out)

*Please note – the keeping of death or funerary registers varied from parish to parish. Death records may not be available for every parish.

Name of deceased*

Approximate date of death*

City where funeral occurred*

Name of parish (if known)

Ethnicity (German, Polish, etc.)

Additional Information