P4-05 2022 SLD Verification Form (PR)

The Redistricting Data Program

P4-05_SLD_Verification_Form_Phase4_PR

Phase 4: Collection of Post Census Redistricting Data Plans

OMB: 0607-0988

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OMB Number: 0607-0988
Expiration Date: XX-XX-2024

PHASE 4 (POST 2020 CENSUS) LEGISLATIVE DISTRICT BOUNDARY VERIFICATION FORM FOR PUERTO RICO


I have reviewed the legislative district boundaries, identifying numbers (and names if applicable). I verify that the boundaries, numbers, and names are correct as shown.



Legislative District – Upper Chamber (Senate – SLDU)


Legislative District – Lower Chamber

(House – SLDL)


I have reviewed the legislative district boundaries, identifying numbers (and names if applicable). I verify that the boundaries are correct as shown, except for the following block assignments specified below:



Legislative District – Upper Chamber (Senate – SLDU)


Legislative District – Lower Chamber

(House – SLDL)


I have reviewed the legislative district boundaries, identifying numbers (and names if applicable). I verify that the boundaries are correct as shown, except for the identified block assignments. In lieu of specifying the incorrect block assignments, codes, or names, we are providing corrections by sending a new block equivalency file via e-mail to [email protected].



Legislative District – Upper Chamber (Senate – SLDU)


Legislative District – Lower Chamber

(House – SLDL)



Date ___________ Signature ____________________________________


Name ___________________________________________________________


Title ___________________________________________________________


Address ___________________________________________________________


City _______________________ State ___________ Zip Code __________


E-mail ___________________________________________________________


Fax ___________________________________________________________


Plan Type (SLDU/SLDL)

County (code)

Census Tract

Census Block

Incorrect District #

Correct District #

 


 

 

 

 

 


 

 

 

 

 


 

 

 

 

 


 

 

 

 

 


 

 

 

 

 


 

 

 

 








Please return this form by e-mail to [email protected] or by FAX at 301-763-4348

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File Title108th CONGRESSIONAL DISTRICT BOUNDARY
Authorbyle0001
File Modified0000-00-00
File Created2021-10-04

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