General Form No. 9
RED CROSS CIVILIAN RELIEF
DATE OF APPLICATION
(NAME
FCHAPTER)
VISITOR
SURNAME
EXACT PRESENT ADDRESS OF FAMILY
RENT
REGIMENT AND COMPANY
LATEST ADDRESS BEFORE ENLISTMENT
A PREVIOUS ADDRESS
RANK
DATE OF DEPARTURE FROM THIS CITY
DATE
ENLISTMENT
DEATH, INJURY, OR DISABILITY-OR REMARKS
FIRST NAME
OCCUPATION
WAGES
AGE
Cr
MAN
WOMAN
1 CHILDREN (ELDEST FIRST)
7
RELATIVES IN THIS CITY
ADDRESS
WHETHER DEPENDENT-OR ABLE TO HELP
KINSHIP
OTHER RELATIVES
(IN WHAT COMPANY)
INSURANCE (KIND)
(AMOUNT)
HELP GIVEN BY WAR DEPT
LENGTH OF TIME EMPLOYED
(ADDRESS)
LATEST EMPLOYER OF ENLISTED MAN
HELP GIVEN BY THIS EMPLOYER
(AMOUNT)
(ADDRESSES)
HELP GIVEN BY OTHER RELIEF COMMITTEES (NAMES)
HELP GIVEN BY OTHERS (INCLUDING BENEFICIAL ORGANIZATIONS)
OTHER INTERESTED PERSONS (PARTICULARLY PASTORS AND PRIESTS) WITH NAMES AND ADDRESSES
E SENT, PREPAID, FOR TWo 0OLLARS PER HUNDRED, ASK FOR GENERAL FORM NUMBER 9
SUPPLY OF THESE CARDS 1s CONSTANTLY ON HAND AT HEADOUARTERS, AMERICAN RED CROSS, WASHINOTON, D. C. THEY WIL
