EMPLOYEE NAME (Last, First, Middle) BIRTH DATE BIRTH PLACE
SOCIAL SECURITY NUMBER (SSN) FATHER’S NAME MOTHER’S NAME
TITLE (Ex.: Ditch-digger, Laborer, Medical Officer) HOMETOWN AT TIME OF EMP LOYMENT
CAMP INFORMATION DATES OF SERVICE
Company Number
Location From To
SECTION III – REQUESTER IDENTITY AND CONTACT INFORMATION
REQUESTER IS:
Former Civilian Conservation Corps employee identified in Section II
Descendant of CCC employee (specify relationship)
Other (specify)
SEND INFORMATION/COPIES OF DOCUMENTS TO: REQUESTER CONTACT INFORMATION
(Please print legibly or type)
Name Daytime Phone Number Extension
Street Apartment Number Alternate Phone Number Extension
City State Zip Code Email Address
See the reverse side of this form for the Privacy Act Notice that applies to the information you provide above.
NATIONAL ARCHIVES AND RECORDS ADMINISTRAT ION NA FORM 14136 (02-14)
CIVILIAN CONSERVATION CORPS (CCC) PERSONNEL RECORDS
National Archives at Saint Louis
SECTION I – INFORMATION REGARDING CCC PERSONNEL RECORDS
The CCC personnel records consist of microfilmed “Individual Records” of enrollees and paper Official Personnel Folders (OPFs) of men who
were formerly employed by the federal government (e.g. Camp Leaders, Medical Officers, etc.) These records are archival as they have been
transferred by the originating agency to the legal custody of the National Archives and Records Administration (NARA).
Reproductions of these records are available to the public for a fee. The NARA Reproduction Fee Schedule is available for viewing at
http://www.archives.gov/research/order/fees.html.
Please DO NOT send payment along with your request.
In order to request copies of CCC personnel records, please send this completed form to:
National Archives & Records Administration
ATTN: Archival Programs
P.O. Box 38757
St. Louis, MO 63138
An ‘Order for Archival Record Reproduction Services’ form will be mailed to you after
a search is performed and a record is located by NARA
staff. If the form, along with payment, is not received within 30 days we will assume that you no longer desire a copy of the records and your
request will be automatically closed without further notice.
If you are interested in viewing archival records in person, please contact the Archival Research Room at 314-801-0850 or
stlarr.archives@nara.gov
. An appointment to view the records is required and must be made prior to your visit. For more information on
the records available, please visit http://www.archives.gov/st-loui
s/archival-programs.
SECTION II – CCC EMPLOYEE INFORMATION
