Code * Combination of 12 numbers and letters located under the bar code in the lower left corner of town census form: Street Address * Street number and name of street: Any changes from last year? * You may submit your town census on-line only if there are no changes. If you have pre-school children (1-5 years of age) or children in an area private or other school (grades 1-12), the School Department still needs to receive your separate school census. By selecting this option, you are certifying under the pains and penalties of perjury as prescribed by M.G.L. Chapter 56, Section 4 that you have no changes to your town census for this year. None Name * Electronically signed by: Leave this field blank
