Fill out an individual form number 2 for each person on list A
___ 1 Last name (for a woman, add the maiden name)
___ 2 First name
___ 3 Relationship to the head of household (indicate for example: Head of household, spouse, son, mother, daughter-in-law, nephew, etc. Or even: friend, boarder, subletter, maid, housed employee, etc.)
___ 1
___ 2
___ 3
___ 4
___ 5
___ 6
___ 7
___ 8
___ 9
___ 10
___ 11
___ 12
___ 13
___ 14
___ 15
If there are more than 15 people to record, use an additional dwelling form.