Establish a housing form:
1. For all buildings serving as a residence, whatever its nature or construction material, including dilapidated buildings, make-shift residences including buildings being constructed which are partially inhabited.
2. For all buildings used for housing, even without occupants at the time of the census (vacant dwellings) except for rundown buildings or buildings becoming completely uninhabitable because of dilapidation.
3. For all kinds of administrative, industrial or commercial buildings, even if uninhabited. Do not fill out this form for trailers or other mobile dwellings.
For special cases, refer to the instructions for census agents.
___ Specific address: street (or place name)
___ Give all other indications pertinent to finding the building
Census District Number _ _ _ _
Building order number _ _ _
Dwelling number (either of mobile homes or a collective household) _ _