2008 Census Dress Rehearsal LUCA Program Return/Destruction of Title 13, U.S.C. Materials
(fill in the name of your government or organization)
_________________ Date
__________________________________________________________ Signature (2008 Census Dress Rehearsal LUCA Program Liaison)
has properly destroyed or returned to the U.S. Census Bureau, the original 2008 Census Dress Rehearsal Local Update of Census Addresses (LUCA) Program materials and any copies using the security requirements provided to us by the U.S. Census Bureau.
2008 Census Dress Rehearsal LUCA Program Reviewers
_________________ Date _________________ Date _________________ Date _________________ Date _________________ Date _________________ Date
__________________________________________________________ Signature __________________________________________________________ Signature __________________________________________________________ Signature __________________________________________________________ Signature __________________________________________________________ Signature __________________________________________________________ Signature
All LUCA Program reviewers are required to sign and date this form at the completion of the LUCA Program. Should any liaison or reviewer leave before the completion of the LUCA Program, they are required to “signout” of the program by signing and dating this form. If any liaison or reviewer fails to sign and date this form, the current liaison can “sign-out” on their behalf.