Second Registration Card ( Reverse )
| From which relief station has family received help? | |
| What are bread-winners doing? | PLANS FOR FUTURE |
| Name of employers | Family’s estimate on what it needs and its plans: |
| Present addresses | |
| Is work permanent? | |
| Employers before the fire of Present address | |
| How long does family expect to need help in food? in shelter? in other ways? | |
| Other referencesPresent address | Investigator’s suggestion as to what should be done: |
| Name of Church, Union, or other organization to which any member of family belongs | |
| Relatives: name, address, ability to help | |
| (Signature of investigator) | |
| Action taken: | |
Above form as illustration