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Annual Residents List Form
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New to Randolph? Sign up now!

Welcome to Randolph! Thank you for taking the time to register with the Town of Randolph.  It is vital for the Town to maintain an accurate count of residents to ensure Town services are administered in an efficient and cost effective manner.

In addition, maintaining accurate census statistics plays a major role in the funding the Town receives from both the Federal and State Government.   

Please provide the following information:
Name:
required
Email:
required
Gender:
 
Street Address: (No P.O. Boxes or business addresses)
 
Apartment or Floor:
 
Mailing Address (If different from above)
 
Birth Date: (mm/dd/yyyy)
 
Occupation:
 
Telephone Number (Please indicate if unlisted)
 
U.S. Citizen: (yes/no)
 
Are you a Veteran? (yes/no)
Please list any other people living in the household (please give name, gender and date of birth).
Residential Address Last Year? (If different from listed above)
*****PLEASE NOTE: THIS FORM DOES NOT REGISTER YOU TO VOTE! YOU MUST COMPLETE A VOTER REGISTRATION FORM.*****

Town of Randolph 41 South Main Street, Randolph, MA 02368