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2/12/20
Recommendation for the Award of Medal to the Family of
Deceased Red Cross Worker.
1. Full name of deceased.
2. Home Address.
3. Nationality
4. Age.
5. Brief description of service of deceased with Red Cross giving date and places
of such service.
6. Date and place of death
7. Cause of death
8. Did death occur during active foreign service with the Red Cross
(If death occurred in this country a statement should be attached hereto-if
possible from the attending physician - giving circumstances showing that
death occurred during active war service with the Red Cross and because of
such service.)
9. Name and address of relative of deceased to whom metal, if awarded, should be
sent
10. Relationship of this person to the deceased
Submitted by
Approved:
Approved:
(For the Chapter or Department)
(Form the Division Com. on Awards.)
(Division Manager)
In the case of Chapter workers this statement should be approved by two members of the
Chapter Board; for Division workers by the head of the Department and in both cases by
the Division Manager and the Division Committee on Awards, (where one exists). In the
case of Headquarters Workers approval should be by the Head of the Department and the
Ganeral Manager.
10306
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Context sent to Scholar
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"ocrText": "COPY\n2/12/20\nRecommendation for the Award of Medal to the Family of\nDeceased Red Cross Worker.\n1. Full name of deceased.\n2. Home Address.\n3. Nationality\n4. Age.\n5. Brief description of service of deceased with Red Cross giving date and places\nof such service.\n6. Date and place of death\n7. Cause of death\n8. Did death occur during active foreign service with the Red Cross\n(If death occurred in this country a statement should be attached hereto-if\npossible from the attending physician - giving circumstances showing that\ndeath occurred during active war service with the Red Cross and because of\nsuch service.)\n9. Name and address of relative of deceased to whom metal, if awarded, should be\nsent\n10. Relationship of this person to the deceased\nSubmitted by\nApproved:\nApproved:\n(For the Chapter or Department)\n(Form the Division Com. on Awards.)\n(Division Manager)\nIn the case of Chapter workers this statement should be approved by two members of the\nChapter Board; for Division workers by the head of the Department and in both cases by\nthe Division Manager and the Division Committee on Awards, (where one exists). In the\ncase of Headquarters Workers approval should be by the Head of the Department and the\nGaneral Manager.\n10306"
}