Westchester County Archives
Individual Record Request Form

Cost for the Individual Record Request is $15.00.
Payment must be received before we will begin work on your order.
Checks should be made payable to "Westchester County Archives". 
Send your request and payment to:

    Archives Reference Desk
    Westchester County Archives
    2199 Saw Mill River Road
    Elmsford, NY 10523

Please fill in and print the following form to create your request.

INFORMATION ABOUT YOU

First Name:   Last Name:

Mailing Address:

City:   State:   Zip:

Country:

Daytime Telephone (include area code):

Email:

INFORMATION ABOUT THE RECORD TO BE RETRIEVED

Archives Number (usually begins with "A-"):

Last Name:

First Name:

Middle Name or Initial:

Other Information or Comments: