I Will Respond to the 2020 Census!
Email address *
I'm helping make sure NYC gets our fair share of $650 billion.
First name *
Your answer
Last name *
Your answer
Phone number *
10-digits, no formatting.
Your answer
Address 1 *
Street number and street name
Your answer
Address 2
Your answer
Zip code *
5-digits, no formatting.
Your answer
I want *
If not English, I prefer
Your information may be used to contact you in relation to the New York City Census 2020 initiative and the federal decennial census survey, other City programs and services, as well as for City administrative purposes. The information you have provided may also be used by the organization requesting your information for the limited purposes of contacting you regarding their not-for-profit services and initiatives. This form and the NYC Census 2020 initiative are not affiliated with the United States Census Bureau.

To find out more about how the City might use the data you share through the use of this website, visit the NYC.gov Privacy Policy (https://www1.nyc.gov/home/privacy-policy.page) and the NYC.gov Terms of Use (https://www1.nyc.gov/home/terms-of-use.page).

By submitting this form, you have read, understood, and agree to the terms of the above Disclaimer, the NYC.gov Privacy Policy, and the NYC.gov Terms of Use.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of NYC CENSUS. Report Abuse