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INSTRUCTIONS RELATIVE TO APPLYING FOR ADJUSTED COMPENSATION GENERAL No., 1) signing for the applicant whenever the applicant's signature is required. Il possible, the fingerprint's of the mentally incapacitated veteran will be obtained, but if (Extract from Title VII, World War Adjusted Compensation Act.) this can not be done the fingerprints may bei omitted, but a statement will be made in PENALTY FOR MAKING FALSE OR FRAUDULENT STATEMENT IN the space provided for the fingerprints, setting forth the reason for omitting the finger- APPLICATION prints. In addition to the application, the guardian will submit a cony of the court order appointing him or her, and also an affidavit setting forth the fact Sec. 702. Whoever knowingly makes any false or fraudulent statement of a that he or she is Identical with the person appointed by the court order. material Ract in any application, certificate, or document under the provisions No credit is allowed for time served under any of the following headings: of Titles III, IV, V, or VI, or of any regulation made under any such title, shall, (1) As a commissioned officer above the grade of captain in the Army or Marine Corps, upon conviction thereof, be fined not more than $1,000, or imprisoned for lieutenant in the Navy, first lieutenant or first lieutenant of Engineers in the Coist not more than five years, or both. Guard, passed assistant surgeon in the Public Health Service, or having the pay and READ ALL INSTRUCTIONS OVER CAREFULLY BEFORE STARTING allowances, if not the rank, of any officer superior in rank to any such grades. (2) Holding a permanent or provisional commission or permanent or acting warrant TO FILL OUT YOUR APPLICATION. in any branch of the military or naval forces or (while holding such commission or war- This form will be used by all veterans, regardless of the branch of service in which tant) serving under a temporary commission in a higher grade. In each case for the you served. period of service under such commission or warrant or in such higher grade after the In these or any other instructions, pamphlets, or regulations relative to Adjusted accrual of the right to pay thereunder. This subdivision does not apply to any non- Compensation, when the expression military and naval forces' is used, it is under- commissioned officer stood that service in the naval forces includes service in the Coast Guard and Marine (3) As a civilian officer or employee of any branch of the military or naval forces, con- Corps unless otherwise specified. tract surgeon, cadet of the United States Military Academy, midshipman, cadet or In these instructions wherever the term "legal guardian' or "legal guardian of vet- cadet engineer of the Coast Guard, members of the Reserve Officers' Training Corps, eran" is used, it includes and pertains to the legal guardian of the dependent also. member of the Students' Army Training Corps (except enlisted men detailed thereto), FILL OUT YOUR PLICATION FROM THE NFORM ATION ON YOUR Philippine scout, member of the Philippine Guard, member of the Philippine Con- DISCHARGE CERTIFICATE OR A CERTIFICATE IN LIEU OF LOST OR stabulary, member of the National Guard of Hawaii, member of the insular force of the DESTROYED DISCHARGE CERTIFICATE, IF POSSIBLE, BUT, IF YOU Navy, member of the Samoan Native Guard and band of the Navy or Indian Scout. HAVE NEITHER WITH YOU, DO NOT DELAY YOUR OWN AND OTHER (4) Any individual entering the military or naval forces after November 11, 1918, for CASES BY.WRITING FOR A CERTIFICATE IN LIEU. If you do not have a any period after such entrance. discharge certificate or a certificate in lieu, answer the questions on the application (5) Any commissioned or warrant officer performing home service not with troops and blank from memory to the best of your ability But, in any case DO NOT WRITE receiving commutation of quarters or subsistence. TO THE WAR OR NAVY DEPARTMENTS, MARINE CORPS, OR THE (6) Any member of the Public Health Service for any period during which he was ETEEANS BUREAU FOR A CERTIFICATE IN LIEU OR FOR INFORMA- not detailed on duty with the Army or Navy. TION RELATIVE TO YOUR SERVICE. The task of administering the compensa- (7) While on farm or industrial furlough. tion law is of such magnitude that any unnecessary correspondence on the part of (8) While detailed for work on roads or other construction or repair work for the period applicants will materially increase the work of administration and will result in a conse- during which his pay was equalized to conform to the compensation paid to civilian quent delay, not only in settling your own claim but also the claims of all other veterans. employees in the same or like employment. All the departments or bureaus of the Government in any way connected with the (9) Any person discharged or otherwise released from the draft for any period of serv- administration of the Adjusted Compensation Act or with the settlement of claims ice terminated by a discharge or release from the draft. arising thereunder, are endeavoring to expedite their work with the least delay and are If you come in any of the following classes, do not submit an application, anxious to settle the claims of veterans as soon as possible after receipt of an application. because no individual falling in any of these groups is entitled to any com- This can not be done unless all veterans cooperate by following instructions and sub- pensation whatsoever under the provisions of World War Adjusted Compensa- mitting their applications correctly made out. Be sure to follow instructions carefully, tion act. and when you receive notification that your application has been received and that you (1) Not a member of the military or naval forces of the United States at any time after have been assigned an application number, do not write asking about your application, April 5, 1917, or before November 12, 1918, and whose total service does not exceed sixty because it is being acted on unless there is something wrong with it, in which case the days. department or bureau handling it will communicate with you. Remember that, in (2) Separated from the service under other than honorable conditions. addition to your own claim, there are some five and one-half million others that must (3) Conscientious objectors who performed no military duty whatever or refused to be considered. If you bear this in mind you will realize that at best it will take some wear the uniform. little time for your application to be acted on. (4) Any alien discharged from the military or naval forces because of alienage. If you have no typewriter available or if you can not write plainly, take your appli- (5) Welfare workers, including the American Red Cross and officers thereof. cation to one of your friends, who will undoubtedly be glad to help you, or take it to (6) Entire service in any one or more of the classes enumerated in the preceding para- some one who will either fill in your application for you or help you enough so that you graph. can send in your application made out correctly. If possible, make it out on a type- Attendance at an officers' training camp, unless already a member of the military or writer-if not, be sure to print or write plainly. If you can not write English, get some naval forces, is not considered as compensable service and consequently no benefits of one to write out your application for you. If it is made out in a foreign language there compensation accrue therefor during the period a veteran might have been in attendance. will be a delay in action on your application due to the fact that it will be necessary to have it translated before it can be considered. Do not make it out in a foreign language INSTRUCTIONS FOR DEPENDENTS MAKING APPLICATION FOR ADJUSTED if you can possibly get some one to make it out for you in English. Any veteran who COMPENSATION does not understand the instructions or in whose mind there is any doubt as to how to make out his application and who can not get a friend to help him, will be able to get A dependent making application for Adjusted Compensation under the provisions of assistance by taking his application blank to any American Legion Post, or any other the World War Adjusted Compensation Act will use the same form that a veteran uses veteran society or organization, the American Red Cross, or any military or naval in applying for benefits under the Act (WWC Form No. 1). In addition the dependent post or station or any recruiting office. Remember that an application submitted is required to make a supplementary statement covered in items 21, 22, 23, 24, 25, and 26 which is not properly made out must be returned to you and final action on your of the application blank. claim and others consequently delayed. Dependents applying for benefits under the provisions of the World War Adjusted Following these general instructions you will find detailed instructions for filling out Compensation Act must furnish properly authenticated death certificate of the veteran each item. The items are numbered on the left-hand side of the application blank. on whom they were dependent, except in the case of a man who died in the military Read the instructions for each item before filling out that item, i. e., read instructions or naval service. If the dependent is a father or mother of the veteran it is required for item 1 and then complete that item: read the instructions for item 2 and then com- by law that a statement of dependency; under oath, be submitted as provided in items plete that item, and so on, until the application blank is completely filled out. 22 and 26 of the application. All items must be answered and all spaces filled in. In case you do not remember As used in this act the term dependent means a widow or widower if unmarried, a specific dates and have not your discharge certificate or a certificate in lieu available, child or children, a mother, or a father, in the order named. then give approximate dates as you remember them. In case any item does not apply to A child of the veteran is presumed to have been dependent on him at the time of the you and the answer is not covered in the instructions for that particular item, draw a veteran's death, if at that time such child was under 18 years of age. The term 'child' line in the space provided for the answer to that question. This is necessary so that it includes (1) a legitimate child: (2) a child that had been legally adopted by the veteran: will be known in the office acting on the application that no items on the blank have been (3) a stepchild if a member of the veteran's household; (4) an illegitimate child, but as to overlooked by the applicant. If a certain item applies to you and you do not remember father only, if the child had been acknowledged in writing signed by the father, or if the or you are unable to give an answer, write "I do not know in the space provided for the father had been ordered by a court to contribute to the child's support, or if the father had been decreed to be the putative father of the child. answer. When properly filled up and witnessed, or sworn to in the case of dependents, the The widow or widower of the veteran is considered to have been dependent on him application must be sent to one of the following places, depending on whether your last or her upon their showing that they and the veteran were living together as man and service was in the Army, Navy, Coast Guard, or Marine Corps; wife at the time of the veteran's death. In case of a father or mother being dependent on the veteran a statement of dependency, under oath, is required as provided in items For the Army to- 22 and 26 of the application. The terms mother" and "father" include stepmothers Adjusted Compensation Branch, and stepfathers, mothers and fathers through adoption, and persons who have stood The Adjutant General's Office, in place of a mother or father of the veteran at least one year before the veteran began his Washington, D. C. service. For the Navy or Coast Guard to- In case of a mentally incapacitated dependent the procedure is the same as for a men- Adjusted Compensation Branch, tally incapacitated veteran, the legally appointed guardian of the dependent making the Bureau of Navigation, application; signing for the dependent and attaching to the application a copy of the Washington, D. C. court order appointing him or her the legal guardian of the said dependent, and an affidavit For the Marine Corps to- setting forth the fact that he or she is identical with the person set forth in the court order. Adjusted Compensation Branch, An application by a dependent must be made before January 1, 1928, in order to be U. S. Marine Corps, valid, except when the veteran dies after June 30, 1927, without having applied, in which Washington, D. C. case the dependent may submit an application any time up to six months after the The above address must be used in any further correspondence which may be re- veteran's death. quired with the War or Navy Departments or the Marine Corps until you are notified Unless otherwise specified, instructions covering each item apply equally as well to a otherwise. All correspondence relative to service in the Coast Guard will be addressed dependent submitting an application as to a veteran who is personally applying and like- to the Navy Department. wise instructions relative to a legal guardian of a veteran apply to the legal guardian of In order to insure that your application is delivered to the proper office, be sure to use the dependent. the addressed envelope furnished with your application blank and thus avoid any un- The dependent making application must give as much of the required information necessary delay in your application reaching its destination at the earliest possible relative to the service of the veteran as possible. All dependents will complete item moment. 12. This must be done in order to identify the veteran concerned. All applications must be made by a veteran or dependent on or before January 1, 1928, except when a veteran dies within the six months prior thereto, in which case a dependent may apply at any time within the six months following the veteran's death. Any appli- DETAILED INSTRUCTIONS FOR MAKING OUT cation received after that date will be held void. APPLICATION In order to be valid, an application must be submitted by the veteran himself except when mental incapacity prevents him from so doing, in which event it will be made by Mail your application to the War Department, Navy Department, or Marine Corps, the veteran's legal guardian. If the applicant is physically incapacitated, he or she may depending on whether your last service was in the Army, Navy, Coast Guard, or Marine sign by using 'his (her) mark' in the presence of the two persons required to witness Corps. If you do not know definitely where to send it, ask some one, and be sure. Use the signature of an applicant. the addressed envelope provided by the Government in which to send in your applica- In the case of a veteran who is mentally incapacitated, the legal guardian may make tion. If you use that envelope, you can't go wrong. But remember you must put a 2-cent application for the veteran, using the same form as the veteran would use (W WC Form stamp on it.