P4-02 118th CD Verification Form

The Redistricting Data Program

P4-02_118CD_Verification_Form_Phase4

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

118th CONGRESSIONAL DISTRICT BOUNDARY

VERIFICATION FORM FOR ________________________

(state name)


I have reviewed the 118th congressional district boundaries and identifying numbers, and I certify that the boundaries and numbers are correct as shown.


I have reviewed the 118th congressional district boundaries and identifying numbers, and I certify that the boundaries are correct as shown, except for the following block assignments specified below:


I have reviewed the 118th congressional district boundaries and identifying numbers. I verify that the boundaries are correct as shown, except for the identified block assignments. In lieu of specifying the incorrect block assignments and/or codes, we are providing corrections by sending a new block equivalency file via e-mail to rdo@census.gov.



Date ___________ Signature ____________________________________


Name ___________________________________________________________


Title ___________________________________________________________


Address ___________________________________________________________


City _______________________ State ___________ Zip Code __________


E-mail ___________________________________________________________


Fax ___________________________________________________________


County (code)

Census Tract

Census Block

Incorrect CD

Correct CD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Please return this form by e-mail to rdo@census.gov 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 Created2024-10-07

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