Other Public Use Forms

Draft 3 12/4/2008

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

Dear Resident:
Pacific
Islands

NOTICE OF VISIT

Dear Resident:
Sorry I missed you.
We are conducting the 2010 Census in your area. I stopped by today to pick
up your completed census form or to assist you in completing your form, but
you were not home. Please telephone me to discuss when we can complete
this interview. Otherwise, I’ll stop back in the next day or two.
Your answers are confidential. This means the Census Bureau cannot give
out information that identifies you or your household. Federal law protects
and keeps your answers confidential (Title 13, United States Code,
Sections 9 and 214).
It’s important to count everyone in the census.
Thank you.
My name is – (Print)
I can be reached at –
Area Code (
)–
The best time
to call is

–

From

CENSUS OFFICE
OFFICE INFORMATION
CENSUS
INFORMATION
Office name and phone number

FORM D-26
(12-4-2008)

a.m.
p.m.

a.m.
p.m.

To

ENUMERATOR USE
USE ONLY
ONLY
ENUMERATOR
LCO No.
AA No.

CLD No.

Map Spot No.

Block No.

PI

USCENSUSBUREAU

D-26 PI, Base Black

D-26 PI, Overlay, Pantone Process Blue (20%, 40% and 100%)