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To:
The Medical Officer of Health,
Municipal Health Offices, Stratford, E.15.
In accordance with my agreement to act as Home Help to
Mrs of
I hereby inform you that I began my duties on the
day of 193
Signed
Home Help's Address
(Detach this Slip and forward as directed above.)
Number of applications for Home Helps during 1931 1344
Eligible (under Council's Scale of Income) 1064
Ineligible (under Council's Scale of Income) 251
Withdrawn 29
Total 1344
Home Help 1.
Home Help Application Form.
COUNTY BOROUGH OF WEST HAM.
Application for the Payment of One Pound One Shilling per week
to the undermentioned Home Help during my wife's Confinement.
Name of Applicant
Name of Applicant's Wife
Address
Names and Ages of all Applicant's Children
Date of expected Confinement
Name and Address of Home
Help proposed to be engaged
(The employment as Home Help of any relative to the patient or
applicant is not allowed, and no payment will be granted
to such a person).
Where is Applicant employed
Name of Employer
153