Sample Genealogy Request Form

Sample Genealogy Request Form

Application for genealogical research in the Czech or Slovak Republics:

1. Name and address of applicant:

2. Relationship between applicant and person to be searched for:

3. Information on the person searched for:

  • Name      
  • Date of Birth
  • Place of Birth
  • Further identity of the locality (county, parish or larger town nearby)
  • Name of the Father
  • Name of the Mother
  • Religion
  • Other information(optional)

4. Relatives of the person being researched for (optional, but very helpful)

  • Husband or Wife Name
    a. Date and Place of Birth
    b. Date and Place of Marriage
  • Children
    a. Name
    b. Date and Place of Birth
    a. Name
    b. Date and Place of Birth
    a. Name
    b. Date and Place of Birth
    a. Name
    b. Date and Place of Birth
  • Brothers and Sisters
    a. Name
    b. Date and Place of Birth
    a. Name
    b. Date and Place of Birth
    a. Name
    b. Date and Place of Birth
    a. Name
    b. Date and Place of Birth

5. I would like to have specified birth dates of all brothers and sisters of direct line ancestors: (indicate Yes or No)

6. My limit on research charges (in U.S. Dollars): $

Date:
Signature:

Name and address of applicant: