BAS-ARF1 Boundary & Annexation Survey, Advance Response Form

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU
FORM

BAS-ARF1

2008
Boundary and Annexation Survey
Advance Response Form

(08-07-2007) Draft 7

OMB No. 0607-0151: Approval Expires 07/31/2010

Place an "X" in the appropriate box
Our government will not have boundary changes to report. Do not send BAS materials.
(Maps will be available for viewing on the BAS Web site starting in January.)

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Our government will have boundary changes to report. Send BAS materials.
(Indicate below which method you will use to review and submit boundary updates.)
Submission Methods:
Paper Maps
MAF/TIGER Partnership Software PC Application
Digital File (Shapefiles)

BAS materials will be mailed to the Highest Elected Official (HEO) or Tribal Chair (TC) if there is no BAS contact
information printed below. If you prefer to have your BAS materials shipped directly to a person responsible for
updating your boundaries, provide the contact information in the BAS space below. Please use black
ink to correct any preprinted contact information.
Our records indicate the HEO/TC contact is
Tribe Name:
Name:
Position:
Department:
Mailing Address:
City, State, Zip, Zip+4:
Phone:
Fax:
E-mail:
Our records indicate the BAS contact is
Name:
Position:
Department:
Mailing Address:
City, State, Zip, Zip+4:
Phone:
Fax:
E-mail:
This BAS contact is the following government type

Tribal

Local

County

Regional

Name and position of person filling out this form:

Mail or fax this completed form
to the U.S. Census Bureau
within 10 calendar days.

USCENSUSBUREAU

U.S. Census Bureau
National Processing Center
1201 East 10th Street
Jeffersonville, IN 47132
Fax Number: 1-888-817-2154

E-mail questions or comments
to [email protected];
use "BAS-ARF1" as the subject.

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