Ledgers containing Form 19 (Home Assistance Application and Report Book) on double folio spreads. These ledgers were to be kept by the Superintendent Assistance Officer for submission to the Board of Health.
Form 19 assigns a number to each registered applicant. It records names of applicants and contains the following categorising columns against each name:
Names of Applicants (Heads of families and other persons applying on their own account alone; Christian names of wives, and of children under 15 years dependent on them)
Age
If Adult (whether Single, Married, Widower or Widow); if Child (whether Orphan, Deserted, or Illegitimate).
Employment or Calling (By whom usually employed)
If Permanently Disabled (Nature of Permanent Disablement)
If Temporarily Disabled (state by what Sickness or Accident)
If Able-bodied, state cause of destitution
Present address (Where, with whom)
If in occupation of land, how much?
Present weekly earnings of self and family
Whether insured under the National Health or Unemployment Insurance Acts, or not - if not, state reasons
How much is applicant in receipt of from Insurance or Unemployment Benefits, Old Age Pensions, or other source;
Names of Relations liable by law and apparently able to assist Applicant
Other observations on the nature of the case
Date of application for assistance
Assistance ordered by the county board of health (if admitted to the county home; nature of assistance ordered; period for which ordered; date of the order; money value of assistance ordered each week; initials of chairman authorising; date of discharge or death)