SECTION II – WPA EMPLOYEE INFORMATION
EMPLOYEE NAME (Last, First, Middle) BIRTH DATE SOCIAL SECURITY NUMBER (SSN)
EMPLOYEE BIRTHPLACE HOMETOWN AT TIME OF EMPLOYMENT
FATHER’S NAME MOTHER’S NAME SPOUSE’S NAME
LOCATION OF WPA WORK PERFORMED DATES OF SERVICE
Town/City & County State
From To
SECTION III REQUESTER IDENTITY AND CONTACT INFORMATION
REQUESTER IS:
Former Works Progress Administration employee identified in Section II
Descendant of WPA 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 ADMINISTRATION NA FORM 14137 (02-14)
REQUEST PERTAINING TO
WORKS PROGRESS ADMINISTRATION (WPA) PERSONNEL RECORDS
National Archives at Saint Louis
SECTION I – INFORMATION REGARDING WPA PERSONNEL RECORDS
The WPA personnel records consist of forms that often detail employees' project assignments, certification for relief, service initiation
and termination, and earnings. 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 WPA 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-louis/archival-programs.
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CLEAR FORM
SAVE FORM
PRIVACY ACT NOTICE
Collection of this information is authorized by 44 U.S.C. 2104. The information you provide to NARA on
this form will be used to search for the records you are requesting. This information is necessary in order to
track your reference request and provide a response to you. Completing this form is voluntary, including
providing the SSN of the WPA employee. With an SSN, NARA will be able to conduct a more
comprehensive search. Without an SSN, NARA will conduct the search based on the name and birth date
provided only. In accordance with the Privacy Act, 5 U.S.C. 552a(e)(4)(D), NARA may disclose this
information: to appropriate Federal, state, local, or foreign agencies when needed for civil, criminal, or
regulatory investigations or prosecution; in response to a request from another Federal agency or Congress;
to a NARA consultant, agent, or contractor to the extent necessary for them to assist NARA in the
performance of its duties; or in accordance with any other “routine uses of records” listed in the Privacy
Act System of Records Notice NARA 2, “Reference Request Files.”
NATIONAL ARCHIVES AND RECORDS ADMINISTRATION
NA FORM 14137 (02-14)