Online Census Form

IMPORTANT: General Laws of Massachusetts mandate an annual street listing of residents as of January 1 each year. For assistance, call the Election Commission at 617-349-4361 (TTY 617-492-0235) or elections@cambridgema.gov.

Please take a moment to read the following instructions before submitting your information electronically.

Fill-in blanks and complete all information requested on the form.
You cannot submit your information electronically if you want to change any of the following: name, address or political affiliation.
Please click the "Submit" button ONCE to finalize the completion if there are no changes.
This form DOES NOT register you to vote. For information on how to register to vote, please go to http://www.cambridgema.gov/Departments/electioncommission/voterregistration

WARNING: Failure to respond shall result in the removal from the active voting list and may result in removal from the voter registration rolls.

Residential Address:

Note: If your residential address has changed in the past year, you must submit a paper census form.

Each resident must have at least the Last Name, First Name, and Date of Birth fields filled in.

Person 1

Last Name

First Name

Middle Name

Date of Birth

Occupation

Nationality
(If not US citizen)

US Veteran

Person 2

Last Name

First Name

Middle Name

Date of Birth

Occupation

Nationality
(If not US citizen)

US Veteran

Person 3

Last Name

First Name

Middle Name

Date of Birth

Occupation

Nationality
(If not US citizen)

US Veteran

Number of Dogs in Household

I have read and agree to the restrictions laid out in this document that I cannot use this form to change my residential address, political affiliation, or to register to vote.

I would like to receive an emailed confirmation of submission of this census form.

Email Address:

Signed under the Penalties of Perjury as Prescribed by M.G.L. 56, §4.

Respondent's full name

Telephone Number (optional)

Today's Date

Person 1

Person 2

Person 3

How can we help?

Service Requests