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American Community Survey

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Sample forms and instructions

These American Community Survey forms are only samples. Most people can reply to the survey online. Learn more about responding online.

If you have misplaced the form that you received in the mail, please call 1-800-354-7271.

Use a pen with blue or black ink, or a #2 pencil, to complete the form you got in the mail.

Downloadable Document Description
2015 America Community Survey form

English [PDF422 KB]
Spanish [PDF 446KB]

2015 American Community Survey form

This form asks about the people at the address on the mailing label-- and their house, apartment or mobile home. Available in English and Spanish.

2015 America Community Survey instruction

English [PDF 235KB]
Spanish [PDF 195KB]

2015 American Community Survey instructions

The booklet provides instructions on how to complete the form. Available in English and Spanish.

2015 American Community Survey Group Quarters form

English [PDF 340KB]
Spanish [PDF 327KB]

2015 American Community Survey Group Quarters form

This American Community Survey form is for people living in group housing facilities such as dorms, nursing homes, barracks, and correctional facilities. Available in English and Spanish.

2015 American Community Survey Group Quarters instructions

English [PDF 197KB]
Spanish [PDF 213KB]

2015 American Community Survey Group Quarters instructions

The booklet provides instructions on how to complete the group quarters form. Available in English and Spanish.

For previous year's questionnaires, visit our Questionnaire Archive in the Methodology section.

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  • General 1-800-923-8282
  • Questionnaire 1-800-354-7271
  • ¿Ayuda? 1-877-833-5625
Source: U.S. Census Bureau | American Community Survey Office | Email ACS | Last Revised: December 31, 2014
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