ARC Request for Research Form

Contact Information

*NAME:
*ADDRESS:
*CITY:
*STATE:
*ZIP:
*EMAIL ADDRESS:
*PHONE:
I AM:	General Public UW-W Faculty/Staff UW-W Student

RESEARCH PURPOSE:	Genealogy Other

*COUNTY OF INTEREST:	Jefferson Rock Walworth
*SUBJECT: (Include variant spelling and possible dates)
QUESTIONS OR ADDITIONAL INFORMATION:
RECORDS TO SEARCH:	Don't Know Manuscript Collections University Scrapbooks (approximate date needed) Vital Records (pre-1907) Census Records Naturalization Records Tax Rolls (Walworth County Only) Maps and Plat Books City Directories Local and County Histories Cemetery Indexes Court Records Photographs (UW-Whitewater) University Records Other?

* Indicates Required Values

Information collected here is for contact purposes only.

University of Wisconsin - Whitewater, 800 West Main Street, Whitewater, WI 53190-1790.
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Last Updated: August 10 2007