Free Printable 1910 Census Extraction Form

A blank form with every question on the 1910 U.S. federal census population schedule. Asks for years of the present marriage, the language spoken, and whether a man was a Union or Confederate veteran.

Copying a census page onto a form with labeled columns makes it much easier to read every answer, especially when the enumerator's handwriting is faint or the headings are cut off in the image. Asks for years of the present marriage, the language spoken, and whether a man was a Union or Confederate veteran.

Columns the Census Office used only for its own statistical codes are left out. Copy the whole household, plus a few neighbors on either side, since relatives often lived next door. For what each column means and how to use it, see How to Read the U.S. Federal Census.

Click any line or box to type. Prints on one landscape letter page.

1910 U.S. Federal Census

StreetHouse no.Dwelling no.Family no.NameRelationshipSexColor / raceAgeMarital statusYears of present marriageMother of how many childrenNumber livingBirthplaceFather's birthplaceMother's birthplaceYear of immigrationNaturalized or alienSpeaks English, or language spokenOccupationIndustryEmployer, worker or own accountOut of work April 15, 1910Weeks out of work in 1909Can readCan writeIn schoolOwned or rentedFree or mortgagedFarm or houseFarm schedule no.Union or Confederate veteranBlindDeaf and dumb

Copy each entry exactly as written, including misspellings. Asks for years of the present marriage, the language spoken, and whether a man was a Union or Confederate veteran.

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