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Submission Form

Qualifications for Pioneer Status: 
  • Must show proof of presence in Washington Territory before statehood on November 11, 1889. 
  • Document information on each member of the family, including spouse and children.
  • Do the same for the next two generations of descendants, unless there are none.
  • All information must include source citations (see Instruction Sheet for acceptable proofs).    
Please include, if known:           
  • First name, middle name (or initial) and surname
  • Date of birth and place of birth (town/city, county, state and/or country)
  • Date of death and place of death (town/city, county, state and/or country)
  • Date of marriage/s and place of marriage/s (town/city, county, state and/or country)
  • Names of children
  • Place or places of residence in Washington (optional)
  • If any descendants are still alive, please include only their name and the word “living.”
  • Comments optional; such as any special recognition, titles or contributions
CLICK HERE TO DOWNLOAD THE SUBMISSION FORM (PDF) (Word)