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{
    "localId": "75439708",
    "label": "Memorandum, Instructions Relative To Applying For Adjusted Compensation",
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    "citationUrl": "https://catalog.archives.gov/id/75439708"
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{
    "id": "75439708",
    "sourceUrl": "https://catalog.archives.gov/id/75439708",
    "contentType": "document",
    "title": "Memorandum, Instructions Relative To Applying For Adjusted Compensation",
    "citationUrl": "https://catalog.archives.gov/id/75439708",
    "collections": [
        "Harry S. Truman Papers Pertaining to Family, Business and Personal Affairs",
        "Military Files"
    ],
    "subjects": [
        "World War, 1914-1918"
    ],
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{
    "url": "https://catalog.archives.gov/id/75439708",
    "naId": 75439708,
    "levelOfDescription": "item",
    "productionDates": [
        {
            "logicalDate": "1919-01-01",
            "year": 1919
        }
    ],
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{
    "seq": 3,
    "pageIndex": 0,
    "type": "document",
    "url": "https://s3.amazonaws.com/NARAprodstorage/lz/presidential-libraries/truman/598589/961758-08.pdf",
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    "ocrText": "INSTRUCTIONS RELATIVE TO APPLYING FOR ADJUSTED COMPENSATION\nGENERAL\nNo., 1) signing for the applicant whenever the applicant's signature is required. If\npossible, the fingerprints of the mentally incapacitated veteran will be obtained, but if\n(Extract from Title VII, World War Adjusted Compensation Act.)\nthis can not be done the fingerprints may be omitted, but a statement will be made in\nPENALTY FOR MAKING FALSE OR FRAUDULENT STATEMENT IN\nthe space provided for the fingerprints, setting forth the reason for omitting the finger-\nAPPLICATION\nprints. In addition to the application, the guardian will submit a copy of the\ncourt order appointing him or her, and also an affidavit setting forth the fact\nSec. 702. Whoever knowingly makes any false or fraudulent statement of a\nthat he or she is identical with the person appointed by the court order.\nmaterial fact in any application, certificate, or document under the provisions\nNo credit is allowed for time served under any of the following headings:\nof Titles III, IV, V, or VI, or of any regulation made under any such title, shall,\n(1) As a commissioned officer above the grade of captain in the Army or Marine Corps,\nupon conviction thereof, be fined not more than $1,000, or imprisoned for\nlieutenant in the Navy, first lieutenant or first lieutenant of Engineers in the Coist\nnot more than five years, or both.\nGuard, passed assistant surgeon in the Public Health Service, or having the pay and\nallowances, if not the rank, of any officer superior in rank to any such grades.\nREAD ALL INSTRUCTIONS OVER CAREFULLY BEFORE STARTING\n(2) Holding a permanent or provisional commission or permanent or acting warrant\nTO FILL OUT YOUR APPLICATION.\nin any branch of the military or naval forces or (while holding such commission or war-\nThis form will be used by all veterans, regardless of the branch of service in which\nrant) serving under a temporary commission in a higher grade. In each case for the\nperiod of service under such commission or warrant or in such higher grade after the\nyou served.\nIn these or any other instructions, pamphlets, or regulations relative to Adjusted\naccrual of the right to pay thereunder. This subdivision does not apply to any non-\nCompensation, when the expression \"military and naval forces\" is used, it is under-\ncommissioned officer.\nstood that service in the naval forces includes service in the Coast Guard and Marine\n(3) As a civilian officer or employee of any branch of the military or naval forces, con-\nCorps unless otherwise specified.\ntract surgeon, cadet of the United States Military Academy, midshipman, cadet or\nIn these instructions wherever the term \"legal guardian\" or \"legal guardian of vet-\ncadet engineer of the Coast Guard, members of the Reserve Officers' Training Corps,\neran\" is used, it includes and pertains to the legal guardian of the dependent also.\nmember of the Students' Army Training Corps (except enlisted men detailed thereto),\nFILL OUT YOUR APPLICATION FROM THE INFORMATION ON YOUR\nPhilippine scout, member of the Philippine Guard, member of the Philippine Con-\nDISCHARGE CERTIFICATE OR A CERTIFICATE IN LIEU OF LOST OR\nstabulary, member of the National Guard of Hawaii, member of the insular force of the\nDESTROYED DISCHARGE CERTIFICATE, IF POSSIBLE, BUT, IF YOU\nNavy, member of the Samoan Native Guard and band of the Navy or Indian Scout.\nHAVE NEITHER WITH YOU, DO NOT DELAY YOUR OWN AND OTHER\n(4) Any individual entering the military or naval forces after November 11, 1918, for\nCASES BY WRITING FOR A CERTIFICAT IN LIEU. If you do not have a\nany period after such entrance.\ndischarge certificate or a certificate in lieu, answer the questions on the application\n(5) Any commissioned or warrant officer performing home service not with troops and\nblank from memory to the best of your ability But, in any case DO NOT WRITE\nreceiving commutation of quarters or subsistence.\nTO THE WAR OR NAVY DEPARTMENTS, MARINE CORPS, OR THE\n(6) Any member of the Public Health vice for any period during which he was\nVETERANS BUREAU FOR A CERTIFICATE IN LIEU OR FOR INFORMA-\nnot detailed on duty with the Army or Navy.\nTION RELATIVE TO YOUR SERVICE. The task of administering the compensa-\n(7) While on farm or industrial furlough.\ntion law is of such magnitude that any unnecessary correspondence on the part of\n(8) While detailed for work on roads or other construction or repair work for the period\napplicants will materially increase the work of administration and will result in a conse-\nduring which his pay was equalized to conform to the compensation paid to civilian\nquent delay, not only in settling your own claim but also the claims of all other veterans.\nemployees in the same or like employment.\nAll the departments or bureaus of the Government in any way connected with the\n(9) Any person discharged or otherwise released from the draft for any period of serv-\nadministration of the Adjusted Compensation Act or with the settlement of claims\nice terminated by a discharge or release from the draft.\narising thereunder, are endeavoring to expedite their work with the least delay and are\nIf you come in any of the following classes, do not submit an application,\nanxious to settle the claims of veterans as soon as possible after receipt of an application.\nbecause no Individual falling in any of these groups is entitled to any com-\nThis can not be done unless all veterans cooperate by following instructions and sub-\npensation whatsoever under the provisions of World War Adjusted Compensa-\nmitting their applications correctly made out. Be sure to follow instructions carefully,\ntion act.\nand when you receive notification that your application has been received and that you\n(1) Not a member of the military or naval forces of the United States at any time after\nhave been assigned an application number, do not write asking about your application,\nApril 5, 1917, or before November 12, 1918, and whose total service does not exceed sixty\nbecause it is being acted on unless there is something wrong with it, in which case the\ndays.\ndepartment or bureau handling it will communicate with you. Remember that, in\n(2) Separated from the service under other than honorable conditions.\naddition to your own claim, there are some five and one-half million others that must\n(3) Conscientious objectors who performed no military duty whatever or refused to\nbe considered. If you bear this in mind you will realize that at best it will take some\nwear the uniform.\nlittle time for your application to be acted on.\n(4) Any alien discharged from the military or naval forces because of alienage.\nIf you have no typewriter available or if you can not write plainly, take your appli-\n(5) Welfare workers, including the American Red Cross and officers thereof.\ncation to one of your friends, who will undoubtedly be glad to help you, or take it to\n(6) Entire service in any one or more of the classes enumerated in the preceding para-\nsome one who will either fill in your application for you or help you enough SO that you\ngraph.\ncan send in your application made out correctly. If possible, make it out on a type-\nAttendance at an officers' training camp, unless already a member of the military or\nwriter-if not, be sure to print or write plainly. If you can not write English, get some\nnaval forces, is not considered as compensable service and consequently no benefits of\none to write out your application for you. If it is made out in a foreign language there\ncompensation accrue therefor during the period a veteran might have been in attendance.\nwill be a delay in action on your application due to the fact that it will be necessary to\nhave it translated before it can be considered. Do not make it out in a foreign language\nINSTRUCTIONS FOR DEPENDENTS MAKING APPLICATION FOR ADJUSTED\nif you can possibly get some one to make it out for you in English. Any veteran who\nCOMPENSATION\ndoes not understand the instructions or in whose mind there is any doubt as to how to\nmake out his application and who can not get a friend to help him, will be able to get\nA dependent making application for Adjusted Compensation under the provisions of\nassistance by taking his application blank to any American Legion Post, or any other\nthe World War Adjusted Compensation Act will use the same form that a veteran uses\nveteran society or organization, the American Red Cross, or any military or naval\nin applying for benefits under the Act (WWC Form No. 1). In addition the dependent\npost or station or any recruiting office. Remember that an application submitted\nis required to make a supplementary statement covered in items 21, 22, 23, 24, 25, and 26\nwhich is not properly made out must be returned to you and final action on your\nof the application blank.\nclaim and others consequently delayed.\nDependents applying for benefits under the provisions of the World War Adjusted\nFollowing these general instructions you will find detailed instructions for filling out\nCompensation Act must furnish properly authenticated death certificate of the veteran\neach item. The items are numbered on the left-hand side of the application blank.\non whom they were dependent, except in the case of a man who died in the military\nRead the instructions for each item before filling out that item, i. e., read instructions\nor naval service. If the dependent is a father or mother of the veteran it is required\nfor item 1 and then complete that item; read the instructions for item 2 and then com-\nby law that a statement of dependency, under oath, be submitted as provided in items\nplete that item, and so on, until the application blank is completely filled out.\n22 and 26 of the application.\nAll items must be answered and all spaces filled in. In case you do not remember\nAs used in this act the term \"dependent\" means a widow or widower if unmarried, a\nspecific dates and have not your discharge certificate or a certificate in lieu available,\nchild or children, a mother, or a father, in the order named.\nthen give approximate dates as you remember them. In case any item does not apply to\nA child of the veteran is presumed to have been dependent on him at the time of the\nyou and the answer is not covered in the instructions for that particular item, draw a\nveteran's death, if at that time such child was under 18 years of age. The term \"child\"\nline in the space provided for the answer to that question. This is necessary so that it\nincludes (1) a legitimate child; (2) a child that had been legally adopted by the veteran;\nwill be known in the office acting on the application that no items on the blank have been\n(3) a stepchild if a member of the veteran's household; (4) an illegitimate child, but as to\noverlooked by the applicant. If a certain item applies to you and you do not remember\nfather only, if the child had been acknowledged in writing signed by the father, or if the\nor you are unable to give an answer, write \"I do not know' in the space provided for the\nfather had been ordered by a court to contribute to the child's support, or if the father\nhad been decreed to be the putative father of the child.\nanswer.\nWhen properly filled up and witnessed, or sworn to in the case of dependents, the\nThe widow or widower of the veteran is considered to have been dependent on him\napplication must be sent to one of the following places, depending on whether your last\nor her upon their showing that they and the veteran were living together as man and\nservice was in the Army, Navy, Coast Guard, or Marine Corps;\nwife at the time of the veteran's death. In case of a father or mother being dependen\non the veteran a statement of dependency, under oath, is required as provided in items\nFor the Army to-\n22 and 26 of the application. The terms mother\" and \"father\" include stepmothers\nAdjusted Compensation Branch,\nand stepfathers, mothers and fathers through adoption, and persons who have stood\nThe Adjutant General's Office,\nin place of a mother or father of the veteran at least one year before the veteran began his\nWashington, D. C.\nservice.\nFor\nthe\nNavy\nor\nCoast\nGuard\nto-\nIn case of a mentally incapacitated dependent the procedure is the same as for a men-\nAdjusted Compensation Branch,\ntally incapacitated veteran, the legally appointed guardian of the dependent making the\nBureau of Navigation,\napplication; signing for the dependent and attaching to the application 8 copy of the\nWashington, D. C.\ncourt order appointing him or her the legal guardian of the said dependent, and an affidavit\nFor the Marine Corps\nsetting forth the fact that he or she is identical with the person set forth in the court order.\nAdjusted Compensation Branch,\nAn application by a dependent must be made before January 1, 1928, in order to be\nU. S. Marine Corps,\nvalid, except when the veteran dies after June 30, 1927, without having applied, in which\nWashington, D. C.\ncase the dependent may submit an application any time up to six months after the\nThe above address must be used in any further correspondence which may be re-\nveteran's death.\nquired with the War or Navy Departments or the Marine Corps until you are notified\nUnless otherwise specified, instructions covering each item apply equally as well to a\notherwise. All correspondence relative to service in the Coast Guard will be addressed\ndependent submitting an application as to a veteran who is personally applying and like-\nto the Navy Department.\nwise instructions relative to a legal guardian of a veteran apply to the legal guardian of\nIn order to insure that your application is delivered to the proper office, be sure to use\nthe dependent.\nthe addressed envelope furnished with your application blank and thus avoid any un-\nThe dependent making application must give as much of the required information\nnecessary delay in your application reaching its destination at the earliest possible\nrelative to the service of the veteran as possible. All dependents will complete item\nmoment.\n12. This must be done in order to identify the veteran concerned.\nAll applications must be made by a veteran or dependent on or before January 1, 1928,\nexcept when a veteran dies within the six months prior thereto, in which case a dependent\nmay apply at any time within the six months following the veteran's death. Any appli-\nDETAILED INSTRUCTIONS FOR MAKING OUT\ncation received after that date will be held void.\nAPPLICATION\nIn order to be valid, an application must be submitted by the veteran himself except\nwhen mental incapacity prevents him from so doing, in which event it will be made by\nMail your application to the War Department, Navy Department, or Marine Corps,\nthe veteran's legal guardian. If the applicant is physically incapacitated, he or she may\ndepending on whether your last service was in the Army, Navy, Coast Guard, or Marine\nsign by using \"his (her) mark\" in the presence of the two persons required to witness\nCorps. If you do not know definitely where to send it, ask some one, and be sure. Use\nthe signature of an applicant.\nthe addressed envelope provided by the Government in which to send in your applica-\nIn the case of a veteran who is mentally incapacitated, the legal guardian may make\ntion. If you use that envelope, you can't go wrong. But remember you must put a 2-cent\napplication for the veteran, using the same form as the veteran would use (WWC Form\nstamp on it.\nOn the envelope furnished you there will be printed the following:\nthe fingerprints that it is the left hand instead of the right. In the case of veterans\nAdjusted Compensation Branch,\nwho are mentally incapacitated, get the fingerprints, if possible. If this can not be\ndone, as also in the case of an individual whose fingers are all missing, make a statement\n(The Adjutant General's Office, Bureau of\nto that effect in the space provided for the fingerprints.\nNavigation, or U. S. Marine Corps)\nITEM 12.-In completing item 12 either use a typewriter or print your answer plainly.\nWASHINGTON, D. C.\nIt is very necessary that you do this because this part of the application will be a part\nof your record in the Veterans' Bureau.\nJust below \"Adjusted Compensation Branch\" you must enter the name of the office to\n(a) The name given in this space must be the name of the veteran, regardless of\nwhich your application is to be sent. In case your last service was in the Army, \"The\nwhether the veteran, a legal guardian of the veteran, a dependent or legal guardian\nAdjutant General's Office;\" in case it was in the Navy or Coast Guard, \"Bureau of\nof the dependent, is making application.\nNavigation;' in case it was in the Marine Corps, \"U. S. Marine Corps.\"\n(b) In this space give your serial or service number, depending on whether your service\nAll communications relative to service in the Coast Guard will be addressed to the\nwas in the Army or Navy, In case you were never given a serial number\nNavy Department.\nwrite \"None given\" in the space provided for the number. If you are a de-\nDo not write anything in the column on the right-hand side of the application blank.\npendent making application and do not know the serial number of the veteran,\nThis space is for use of War and Navy Departments and Marine Corps only.\nwrite \"not known' in the space provided for serial number.\nRead the instructions over very carefully-do not take a chance.\n(c) Under this item, if the veteran is dead and dependent is making application write\nThe item number will be found in the left-hand side of the application blank. Study\n\"Deceased\" in the space provided for the veteran's address.\nthe instructions for each item carefully before filling it in.\n(d) In this space will be entered the date and place of birth of the veteran regardless\nBe sure to answer every question. If you do not remember the information required,\nof who is making application.\nsay \"I do not know.\" If you have any doubt as to how to go about making out your\n(e) The rank and organization given here will be that of the veteran at the time of\napplication, ask some one who knows. But do not.write to the War Department, Navy\ndischarge. If a dependent is making application and does not remember the\nDepartment, or Marine Corps. Make out your application the best you can from the\nlast rank and organization the dependent will write \"not known\" in the space\ninformation at hand.\nprovided.\nFollow these instructions strictly and thereby save time and trouble for everybody\nITEM 13.-This item is for COMMISSIONED SERVICE ONLY. If you do not\nconcerned-the War and Navy Departments, the Veterans' Bureau, yourself, and some\nremember exact dates give them approximately. If you had no commissioned service\nfive and one-half million other veterans who are also making application for Adjusted\nwrite the word \"None\" on the first line.\nCompensation and are as anxious to have their claims acted on as you are to have yours.\nITEM 14.-In this item give the stations at which you were serving when on a commu-\nBe sure to fill in the space which shows whether your service was in the Army, Navy\ntation status, if you come in this class. If you were never on such duty write \"None\"\nCoast Guard, or Marine Corps.\non the first line provided for station at which you served. Notice that the law reads\nITEM 1.-Give your last name first, then your first name, followed by your middle\nPerforming home service not with troops.\" This does not apply to oversea service\nname, if you have one. Be sure to give the name under which you served, although the\nITEM 15.-If this item applies to you, you should give the date you started to comply\nrecords may show that name different from your true name. For instance, your name\nwith the order granting you the furlough and the date on which you reported back to\nmay be Greene and you may have served under the name of Green, or likewise Smyth\nmilitary control. If you were ordered back from farm or industrial furlough and did\nand Smith. If you have your discharge certificate or certificate in lieu with you, use the\nnot report for duty for four or five days after receipt of the order you must give the date\nname given thereon. Enter your serial number, or service number if you served in the\nyou reported regardless of when you received the order. If you were discharged while\nNavy, in the space provided for the same. If you do not remember it or never received\non farm or industrial furlough and never reported back for military duty give the date\none, draw a line through the space provided for the number. This number is your Army,\nyou stopped working.\nNavy, or Marine Corps serial or service number. Do not put any Veterans' Bureau\nITEM 16.-Cross out the words which do not apply. This item affects only those\nClaim Number or anything like that in this space.\nconscientious objectors who performed no military or naval duty whatever. The fact\nITEM 2.-In case of a dependent making application, the address of the dependent will\nthat you were a conscientious objector does not deprive you of benefits provided that\nbe given. Be sure to give your house number and name of street, if same exist. If your\nyou performed unqualified military or naval duty and did not refuse to wear the uniform.\nmail is delivered in care of some one, do not fail to include their name as part of your\nITEM 17.-Cross out the words which do not apply in your case. The governing factor\naddress. In case you have both a business and residential address, give the address of\nin this item is whether or not you were discharged because of alienage. Although you may\nyour residence. Do not give \"General Delivery\" as an address if it is at all possible\nhave received an honorable discharge still you are not entitled to Adjusted Compensa-\nto give anything more definite. Do not omit the county from your address.\ntion for the law specifies, Any Alien-discharged from the military or naval forces on\nITEM 3.-This item calls for the date of birth of the veteran, regardless of who is making\naccount of alienage,\" is not entitled to the benefits accruing under this act.\napplication. Be sure to give the city in which veteran was born if it is known.\nITEM 18.-This space is provided for any statement or remark you may desire to make\nITEM 4.-Be sure to give rank or grade at entrance into the service. If you entered as\nand for which there is no space under any of the items of the application.\na private and were later commissioned, the entry under this item would be \"private.\"\nITEM 19.-In the space after the word \"the\" in the first line of this item, insert which\nIn the words \"Army,\" \"Navy,\" Coast Guard,\" or 'Marine Corps\" cross out the\never one of the following applies in your case, Person\" if the veteran is submitting the\nthree in which you did not enter the service. Give the date on which you were inducted\napplication himself; 'legal guardian of the person (or dependent)\" if the veteran himself\nor, in case you enlisted, the date on which you were enlisted (not the date you were\nor the dependent making application is mentally incapacitated; \"widow,\" \"widower,\"\naccepted for enlistment). If you were a reservist or an officer of the Reserve Corps, give\n\"child,\" \"mother,\" or \"father\" as the case may be, if 8 dependent is making applica-\nthe date on which you started to comply with the order calling you to active duty; if\ntion. This statement must be signed by the person making application. No one can\nyou don't know that date or there is any doubt, then give date on which the order di-\nsign for the veteran or the dependent except in case of mental incapacity when the legal\nrected you to report; if neither of these dates is available, give date you actually reported\nguardian of the veteran or dependent as the case may be will sign. In the case of 8 veteran\nfor duty. If you were in the National Guard, give the date you reported for duty under\nor the legal guardian thereof this signature will be made in the presence of the two wit-\nthe call of the President. If the original entry into World War service was in the status\nnesses required to sign in item 20; in case of a dependent or legal guardian thereof the signa-\nof a commissioned officer, except a reserve or National Guard officer, give the date of\nwill be made at the time of the oath being given and in the presence of the individual\nacceptance of your original commission and not the date of commission. If you were\nadministering the oath. When the applicant is a veteran or legal guardian of a veteran\nenlisted or inducted, and later commissioned, the date of original entry is the date you\nand is physically incapacitated, he or she will sign by making His (Her) Mark\" in the\nwere enlisted or inducted and not the date of commission. In case you entered theservice\npresence of the witnesses required to witness the signature of the applicant in item 20;\nApril 5, 1917, or before November 12, 1918, and your service was not continuous,\nif the applicant is a dependent and physically incapacitated, he or she will sign by mak-\ngive dates of both inductions or enlistments. An example of the latter case is when a\ning His (Her) Mark\" in the presence of the individual who administers the oath in\nman was in the service on April 6, 1917, and discharged subsequent thereto on Surgeon's\nitem 26. Do not omit the date under this item, space for which is on the left-hand side\nCertificate of Disability, and later inducted and accepted for limited military service.\nof the application blank which is in the left-hand side of the application.\nITEM 5.-If you were an enlisted man, give the date you were separated from the en-\nITEM 20.-This item will not be filled in when a dependent is making application.\nlistment in which you were serving on November 12, 1918, unless honorably discharged\nBefore the persons who witness the signature of the applicant sign in the space provided\nbefore that date, in which case give the date you were separated from the service. If\nfor their signatures, they will assure themselves that the veteran who signs the certificate\nyou come under the class of men who did not receive a discharge certificate until a con-\nin item 19 is identical with the individual whose service is set forth in the application.\nsiderable time after you left the service, give the date you left the service and not the\nThey will also satisfy themselves that the veteran understands the statemen made by\ndate of the discharge certificate.\nhim in the application and will explain to the veteran the penalty prescribed by law for\nITEM 6.-Cross out the words that do not apply to your case. Oversea service means\nmaking false or fraudulent statements therein. The addresses of the witnesses must\nservice on shore in Europe, or Asia exclusive of China, Japan, and the Philippine Islands.\nbe given in this item.\nService in Siberia and the Archangel Expedition counts as oversea vice. Service in\nItems 21, 22, 23, 24, 25, and 26 are to be used only in case of a dependent\nHawaii, Porto Rico, Canal Zone, and Alaska does not count as being foreign service.\nmaking application for adjusted compensation.\nITEM this item enter the names of the organizations with which you served or\nITEM 21.-In this item give the names, addresses, and, in case of child or children the\nthe vessels on which you were stationed with dates in either case. If you did not belong\ndate or dates of birth, of all persons of the indicated relationship who were dependent on\nto an organization or were detached from your outfit, give the name of the station at which\nthe veteran at the time of his death. In order to be entitled to compensation under the\nyou served. If you were sent to a hospital away from your own organization, give the\nprovisions of the World War Adjusted Compensation Act the dependent must have been\nname or names of the hospitals in which you were. In case of men going oversea for\ndependent on the veteran at the time of said veteran's death. In case of more than\nservice ashore and returning to the United States, do not give the name of your transport\none dependent at the time of the veteran's death, they are entitled to compensation\nas & vessel on which you served. The only veterans to give the name of a vessel in this\nin the following order: (1) Widow or widower, if unmarried; (2) children; (3) mother;\nitem are those whose service was in the Navy or members of the Army or Marine Corps\nand (4) father. That is, supposing a veteran at the time of his death bad a child under\nassigned to duty on a vessel or transport. In case there is not sufficient space under this\neighteen and also a mother dependent upon him or her for support, then the child would\nitem for all your organizations or vessels, give the balance under Remarks\" in item 18.\nbe entitled to the Adjusted Compensation, or if be left a widow and several children,\nBe sure to give your first and last organization, station or vessel. If you do not remember\nthe widow would be entitled to the benefits under the Act provided she had not remarried\nthe exact dates, give the approximate dates.\nsince the death of the veteran, in which case it would go to the children. Be sure to give\nITEM 8.-Give the character given on your discharge certificate. If you were an officer,\nthe date or dates of birth of any children who might have been dependent on the\nwrite Officer\" in the space provided for character, as no character was recorded on\nveteran at the time of his death.\nofficers' discharge tificates.\nITEM 22.-In the space after the word \"the\" in the first line of this item insert the\nITEM 9.-This item will be filled out only by men who were in the Marine Corps when\nrelationship of the dependent to the veteran, such as \"widow,\" widower,\" \"child,\"\nthey sailed for oversea duty or when they returned to the United States. If you were\n\"mother,\" or father,' as the case may be. In the blank space after \"was\" insert your\nin the Marine Corps and had no oversea duty, write the word \"None\" after the words\nage at the time of the death of the veteran.\n'Service on\" in this item. If you had oversea service be sure to give the necessary\nITEM 23.-A dependent must give the address of his or her present residence. Follow\nnames of transports, dates, and names of ports of embarkation and debarkation.\nthe instructions under item 2 relative to the address to be given. The address under\nITEM 10.-The beneficiary named by you in this item does not have to be the same as\nitem 23 must be the same as that given under item 2. This address must be correct SO\nthe one you named in your application for War Risk Insurance, nor the nearest relative\nthat the Departments or Bureaus charged with acting on your claim may communicate\nwhose name you gave at entrance into the service, but may be any person whom you\nwith you, if necessary, and so that your Adjusted Service Pay or Adjusted Service Cer-\ndesire to receive the benefits of your Adjusted Service Compensation in case of your\ntificate, if your claim is approved or notification of disallowance in case it is not allowed\ndeath. The relationship must be given in the space provided for the same. In case\nwill reach you as soon as possible.\nyou desire to name a friend as your beneficiary, write Friend\" in the space provided\nITEM 24.-The dependent will sign under this item. This signature must be identical\nfor relationship. The signature given in this item must be identical with the signature\nwith the signature in item 19.\nto the certificate in item 19.\nITEM 25.-The dependent must furnish his or her fingerprints in the space provided\nITEM 11.-In the rectangle set-off on the left-hand side of the application blank, under\nfor same in this item. For instructions relative to fingerprints see the instructions for\nthis item, the applicant will make his (her) fingerprints. The fingerprint impression\nitem 11, which apply to this item.\nof the four fingers of the right hand are to be made all at the same time after the fingers\nITEM 26.-This oath is required by law for dependents and must be administered\nhave been inked with black printer's ink, or by using a stamp pad. If possible use\nbefore the application is sent in. The individual administering the oath will assure\nprinter's ink. It is necessary that the ridges in the print be clear and distinct other-\nhimself that the applicant thoroughly understands the statements made in this applica-\nwise the application will have to be returned to you for better fingerprint impressions.\ntion and the penalty prescribed by law for making false or fraudulent statements\nIt is suggested that a fingerprint impression may be obtained by going to a printing\nAfter making out your application, go back over It and check each Item 80\nestablishment and using the roller of one of the presses as the source from which to\nas to be sure you have omitted nothing and that each item Is properly filled\nobtain the printer's ink. Fingerprints may be taken at any Army, Navy, or Marine\nout.\nCorps Recruiting Station. They may also be taken at any police station, prison, peni-\nA veteran making application must sign in two places-items 10 and 19.\ntentiary, reform school, or institution of that nature. In case any or all of the fingers\nA dependent making application must sign in two places-items 19 and 24.\nof right hand are gone, take an impression of the fingers of the left hand, stating under\nBe sure you have signed wherever necessary.\nGOVERNMENT PRINTING OFFICE\nSailed from Holoken Mar 30 1918 ape 1919\nLoudeda Just apr 13 1918 Contaporo 1919"
}