Record Submission Forms For
Virginia USGenWeb Archives


Documents placed in the USGenWeb Archives remain the property of the contributor, the contributor gives permission to the
USGenWeb Archives to store the file permanently for free access. Click Here for Information on Copyright and here USGenweb Copyright

***NOTE***
These forms are for genealogical and historical records only.
DO NOT ENTER ANY INFORMATION ON LIVING INDIVIDUALS.
Please transcribe the full record, if you do not have the full record or all the facts required, please do not use this form.

Please cite the source of your information in the Additional Comments box if there is no box on the form for citing a printed source.
Virginia USGenWeb Archives Declaration Of Intention Record 1906 to 1928
Click here for information about these forms. (Opens a New Browser)
Use this form to automatically create and send your ancestors Naturalization Record to the Virginia USGenWeb Archives
formatted for acceptance in the USGenWeb Archives Project Or you can send your file by email to the
Archives Manager for your county (Addresses below)
(Fields with an * are required Please double check this before you submit.) Your tab key will work to move between fields.
Your Email Address:
Your First Name-Submitter:  
Your Last Name-Submitter:

Volume (If available): 

No. 
State Of Court 
County Of Court 
Name Of Court e.g. Supreme
Court Location 

Applicants Name (First, Middle) Last Name

Age:
Occupation:
Color:
Complexion:
Height (feet/ins):
Weight (pounds):
Hair Color:
Eyes Color:
Distinguishing Marks:
Place Of Birth: (City, County, State) 
Date Of Birth: Month: Day: Year: * 
Place Of Residence:
Emmigrated From:
Vessel:
Last Foreign Residence:

Married: 
Spouse Name (First, Middle) Spouse Last Name
Birth Place:
Spouse Age:
Spouse Resident:

Renouncement:

Arrive Port/Location (Lawful Entry At):
Arrival State/Territory/District:
Arrive When: Month: Day: Year: * 

Applicant's signature:  
Date Signed:Month: Day: Year:
Clerk Name:                           
Court Of Clerk (e.g Supreme):           
Deputy Clerk Name:                           
Other Information On Record:

Enter Any Additional Comments:

County Where File is to be Posted:
Required

If you want a copy of this sent to your email check here: 


(Before you submit please note, we can not provide you with records, if you are looking for a record please click here.
These forms are for sharing records which you already have in your possession.)


[ Virginia USGenWeb Archives Table of Contents ]


Archives Managers Are:

See State Page for Individual File Managers

Please send any questions or comments to: Donna Bluemink, Virginia USGenWeb Archives State File Manager



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Problems or Comments about these forms contact Debra Crosby The Registry
Created by David Crosby © Copyright 2002 - Present