1940 Census Extraction Forms
1940 Census Extraction Forms
1940 Census Extraction Forms
NAME
RELATION Relationship of this person to the head of the household, as wife, daughter, father, mother-inlaw, grandson, lodgers wife, servant, hired hand, etc.
PERSONAL DESCRIPTION
Marital Status 12
Color or Race
House Number
10
11
Line No.
Line No.
Sex
BE SURE TO INCLUDE: 1. Persons temporarily absent from household. Write Ab after names of such persons. 2. Children under 1 year of age. Write Infant if child has not been given a first name. Enter after name of person furnishing information
Name of each person whose usual place of residence on April 1, 1940, was in this household
PLACE OF BIRTH
CITIZENSHIP
In what place did this person live on April 1, 1935? For a person who lived in a different place, enter city or town, county, and State.
City, town or village having 2,600 or more inhabitants If less, enter R
CODE (Leave Blank)
If foreign born, give country in which birthplace was situated on Jan. 1, 1937 Distinguish: Canada-French from Canada-English and Irish Free State from Northern Ireland
Line No.
County
13
14
15
16
17
18
19
20
Line No.
On a farm? (Y or N)
Line No.
21 22 23 24 25 E 26 27 CODE Number or hours worked during week of March 24-30, 1940. Line No. Was this person SEEKING WORK? (Y or N) If not seeking work, did he HAVE A JOB, business, etc.? (Y or N) Indicate whether engaged in home housework (H), in school (S), unable to work (U) or other (Ot). For persons answering No to questions 21-24 Duration of unemployment up to March 30, 1940 in weeks.
Was this person AT WORK for pay or profit in private or nonemergency Govt. work during week of March 2430? (Y or N)
If not, was he at work on, or assigned to, public EMERGENCY WORK (WPA, NYA, CCC, etc.) during week of March 24-30? (Y or N) If neither at work or assigned to public emergency work (No in cols. 21 & 22) If at private or nonemergency Govt. work. Yes in col. 21 If seeking work or assigned to public emergency work. Yes in col. 22 or 23.
Trade, profession, or particular kind of work, as Frame spinner Salesman Laborer Rivet heater Music teacher
Class of Worker
Line No.
28
29
30
31
32
33
34
Line No.
Industry or business, as Cotton mill Retail grocery Farm Shipyard Public school
OCCUPATION
INDUSTRY
FOR PERSONS OFALL AGES PLACE OF BIRTH OF FATHER AND MOTHER MOTHER TONGUE VETERANS Is this person a veteran of the United States military forces or the wife, widow, or under 18-year old child of a veteran? Language spoken at home in earliest childhood If child, is veteran-father dead? (Y or N)
Name
If born in U.S. give state, territory or possession. If foreign born, give country in which birthplace was situated on Jan. 1, 1937. Distinguish Canada-French from Canada-English and Irish Free State from Northern Ireland.
Line No.
Father 35 36
Mother 37
38
39
40
41
Col. 5 VALUE OF HOME, IF OWNED: Where owners household occupies only a part of a structure, estimate value of portion occupied by owners household. Thus the value of the unit occupied by the owner of a two-family house might be approximately one-half the total value of the structure.
SYMBOLS AND EXPLANATORY NOTES (Columns 5, 10, 11 and 14) Col. 10 COLOR OR RACE: Col. 11 AGE AT LAST BIRTHDAY: White W Indian In Japanese Jp Hindu Hin Negro Neg Chinese Chi Filipino Fil Korean Kor
Enter age of children born on or after April 1, 1939, as follows. Born in: April 1939 11/12 May 1939 10/12 June 1939 9/12 July 1939 8/12 Aug 1939 7/12 Sept 1939 6/12 Oct 1939 5/12 Nov 1939 4/12 Dec 1939 3/12 Jan 1940 2/12 Feb 1940 1/12 Mar 1940 0/12 (Do not include children born on or after April 1, 1940.)
Line No.
Line No.
42
43
44
48
49
SYMBOLS AND EXPLANATORY NOTES (Columns 16, 21, 24, 30, 41, and 47) Col. 16 CITIZENSHIP Col. 21 WAS THIS Col. 24 DID THIS PERSON Cols. 30 and 47 OF THE FOREIGN PERSON AT WORK? HAVE A JOB? CLASS OF BORN: Enter Yes for persons at Enter Yes for a person (not WORKER: work for pay or profit in seeking work) who had a job, Wage or salary Naturalized Na private or nonemergency business, or professional worker in private Having first papers Pa Government work. Include enterprise, but did not work during work PW Alien Al unpaid family workers week of March 2430 for any of the Wage or salary American citizen that is, related members of following reasons: Vacation; worker in Govt born abroad Am Cit the family working without temporary illness; industrial work GW money wages or salary on dispute; layoff not exceeding 4 Employer E work (other than housework weeks with instructions to return to Working on own or incidental chores) which work at a specific date; layoff due account OA contributed to the family to temporarily bad weather Unpaid family income. conditions. worker NP
Col. 41 WAR OR MILITARY SERVICE: World War W Spanish -American War; Philippine Insurrection or Boxer Rebellion S Spanish-American War & World War SW Regular establishment (Army, Navy or Marine Corps) Peace-Time Service only R Other war or expedition Ot
Line No.