Recommendation Form
| FORM FOR SPECIAL RELIEF | |||
| In duplicate, both copies to be forwarded to the Executive Officer. Issues to be made only to women and children in need; men only when sick and destitute. Following questions must be answered in every case. | |||
| CAMP | |||
| DATE | 1907 | ||
| SUPERINTENDENT OF SPECIAL RELIEF, | |||
| SIR: | |||
| I HAVE RECOMMENDED THAT THE FOLLOWING BE SUPPLIED: | |||
| Name of Applicant in full and Age | Wages | ||
| Full Name of Parents or Husband or Wife | If not Working, why? | ||
| Present Address | Means of Support | ||
| Address Prior to April 18th, 1906 | Number in Family | ||
| Occupation | Relief Already Received from the Rehabilitation Committee | ||
| ARTICLES | |||
| Approved: | Approved: | ||
| Executive Officer | Camp Commander | ||
Above form as illustration