Luzerne County Historical
Society
49 South Franklin Street
Wilkes-Barre, PA 18701
Library/Office:
570-823-6244 x 2
Fax: 570-823-9011
www.luzernehistory.org
Document Order Form
Please type or clearly print the information on this form. We will search and make copies of the following:
Births – First, MI, Last Name, Year needed; Place of Birth helpful
On microfilm for Luzerne County from 1893 – 1905; Delayed Birth Act from 1877 – 1905
Note: Birth records on microfilm are in poor condition and may take longer to search
Deaths – First, MI, Last Name and Year are needed
On Microfilm from 1893 - 1905
Wills – First, MI, Last Name needed
Copies of Wills for Luzerne County from 1800 – 1880
Marriages – First, MI, Last Name and Year are needed
On Microfilm from 1885 - 1905
All records may not be available for a given individual. Requests are answered in the order they are received.
Please allow 4 – 6 weeks. Research for unknown dates will be limited to one hour.
Note: These records are also available from the Luzerne County Court House, Register of Wills Office, (570)8251668.
Mail this form along with payment ( $ 15.00 for each document; $20.00 if the date is unknown, except for Wills )
and a first class postage stamp to the address above.
Name:_________________________________________________________________________________
Address:_______________________________________________________________________________
City:__________________________________________________State:_______________Zip:__________
E-mail address:___________________________________________Phone:_________________________
Name to be Searched___________________________________________Date______________________
Maiden Name________________________________Spouse’s First Name__________________________
City or Town____________________________________________________________________________
□ Birth
□ Will
□ Marriage
□ Death
Name to be Searched___________________________________________Date______________________
Maiden Name________________________________Spouse’s First Name___________________________
City or Town_____________________________________________________________________________
□ Birth
□ Will
□ Marriage
□ Death
Name to be Searched___________________________________________Date______________________
Maiden Name________________________________Spouse’s First Name___________________________
City or Town_____________________________________________________________________________
□ Birth
□ Will
□ Marriage
□ Death
Name to be Searched___________________________________________Date______________________
Maiden Name________________________________Spouse’s First Name___________________________
City or Town_____________________________________________________________________________
□ Birth
□ Will
□ Marriage
□ Death
Name to be Searched___________________________________________Date______________________
Maiden Name________________________________Spouse’s First Name___________________________
City or Town_____________________________________________________________________________
□ Birth
□ Will
□ Marriage
□ Death
12/04/2010