D-2003 (SG) State Government Product Preference Form

Form D-2003(SG) (XX-XX-XXXX) OMB Control No. XXXX-XXXX

STATE GOVERNMENT PRODUCT PREFERENCE FORM 2020 CENSUS LOCAL UPDATE OF CENSUS ADDRESSES OPERATION (LUCA)

U.S. DEPARTMENT OF COMMERCE ECONOMICS AND STATISTICS ADMINSTRATION U.S. CENSUS BUREAU

Entity ID

State

Please complete this form and return it via email to GEO.2020.LUCA@census.gov or in the enclosed postage paid, preaddressed envelope. Keep the original completed, signed form for your records. If you no longer have the postage-paid preaddressed envelope, the return mailing address is ATTN: Geography LUCA Materials

63-E, National Processing Center, 1201 East 10^th St, Jeffersonville IN 47132.

Name of the Person Completing This Form (Please print)

Name ___________________________________________________ Telephone Number ( )___________Ext_ ___

Email Address ____________________________________________________________ Date ______________

1. Government Mailing Information

1. Participating Government Mailing Address (Please print)

Number and street name, RR, HC, or box number Area Code Telephone Number Ext.

_______________________________________________________________________________________

City State ZIP Code

2. Package delivery address - Please provide a package delivery address if different from mailing address. (Please print)

Number and street name Area Code Telephone Number Ext.

______________________________________________________________________________________

City State ZIP Code

2. Product Preference

Please mark (X) only one

GUPS – The Census Bureau’s Geographic Update Partnership Software (GUPS) is a self-contained Geographic Information System (GIS) tool. It includes the Census Bureau’s address list, address count list by census block, and partnership shapefiles. GUPS allows you to add external geospatial data (shapefiles, geodatabases, and imagery) for comparison and update purposes. GUPS functions on Windows XP, Vista, and Windows 7, 8, and 10, and Apple Mac OS X with additional bridge software.

Digital Address List and Shapefiles – The Census Bureau provides the address list and address count list, by census block, in

Excel (.xlsx) and Comma Delimited Text (.csv) format. (Choose preference below). Partnership shapefiles are provided and require the use of Geographic Information System (GIS) software. Address structure points are not included in the partnership shapefiles but can be created from the latitude/longitude coordinates included on the digital address list.

. Excel OR Comma Delimited Text File

3. County(ies) Selection

Mark (X) only one

Send data for ALL counties (or county equivalents) in our state.

Send data for the county(ies) or county equivalent(s) marked below.

X	County Code	County Name	X	County Code	X	County Code	County Name

X	County Code	County Name	X	County Code	X	County Code	County Name