(8) To families with but one child not of working age, except where the conditions are unusual. Attention is particularly called to the following provisions of the child welfare law: "A person who shall procure or attempt to procure, directly or indirectly, any allowance for relief under this article, for or on account of a person not entitled thereto, or shall knowingly or wilfully pay or permit to be paid any allowance to a person not entitled thereto, shall be guilty of a misdemeanor.” Any widow who desires to receive State aid, or any person applying in behalf of such widow, should apply to the first selectman of the town or to the mayor, or his agent, of the city or warden of the borough in which such widow resides. The selectman shall require all applicants for State aid to widows with dependent children to fill out and swear to the application blanks which will be forwarded in duplicate under separate cover. All applications must be filled out in ink. The selectman or his representative shall make such investigation as he may deem necessary to verify the statement of the applicant and shall submit the application to the county commissioners within ten days after receipt of same with a brief summary of his findings and a recommendation as to the allowance to be made in each case. The selectman or his representative shall verify the marriage of the applicant, the births of the children, and the death of the husband. Transcripts of records of birth, marriage, and death, furnished by town clerks or health officers shall be accepted as proof of such birth, marriage, or death, and must accompany the application. Where a record of the birth or marriage is not filed in the office of the town clerk or health department, the church record of the birth or marriage will be accepted. Where such a record is not available, the affidavit of the physician who attended wife at birth of child will be accepted, and must accompany the application. Where there is no record of marriage to be produced the affidavit of the clergyman who performed the ceremony, or the affidavit of two persons who witnessed the marriage ceremony will be accepted and must accompany the application. Where no record of the death of husband is on file, the records of the cemetery in which the husband is buried, or the affidavit of the physician who attended the husband during his last illness, will be accepted, and must accompany the application, Residence. Any widow living in Connecticut is eligible for State aid provided she has no legal settlement in any other State. As the settlement laws vary in different States, the selectman or his agent shall therefore be careful to ascertain the places of residence of the woman during the past five years and the time during which she lived in each place. If the information thus obtained shows that the woman has resided in any other State prior to her arrival in Connecticut, he shall communicate with the poor officials of the town in which she so resided and ascertain if she has a legal settlement in that town. Support by relatives.—It is expected that children of working age will contribute adequately to the support of the home. For this reason the selectman or his representative shall ascertain name of employer of such children and shall verify earnings of said children. The circumstances of the relatives legally bound to support the widow or her children should be investigated, and if they are found able to contribute to the support of the widow or her children should be compelled to do so, even if necessary to resort to court action. Rents. The law provides that a reasonable allowance shall be granted to the widow for a suitable tenement adequate in size and located in proper environment. The investigation should cover the condition of the home, number of rooms, light and ventilation, sanitary arrangements, etc., as well as a character of neighborhood. Illness and burial.—An allowance will always be made to cover the cost of medical attendance during the illness of any member of a family receiving State aid, and where there is no insurance an allowance will be made to cover burial expenses. Special application blanks will be provided for these allowances and will be furnished upon request. Publicity. To avoid publicity it is suggested by this department that the names of widows receiving aid will not be printed in public reports. [Forms used by State of Connecticut.] APPLICATION FOR STATE AID TO WIDOWS WITH DEPENDENT CHILDREN. NO. (1) Name Address Date- Town or City (2) Present conditions: (First Selectman, Mayor, etc., will give brief summary ›f conditions) (3) INCOME OF FAMILY. [6] From relatives. Other sources.. Total income of family.. To the County Commissioners, -County, Conn. DEAR SIRS: After due investigation I recommend that the above named applicant be granted the following weekly allowance: The recommendation of the County Commissioners that the above named applicant be granted a weekly allowance of The allowance is to be paid weekly beginning is hereby approved, disapproved. until further notice. Dated at Hartford, Conn., 19 State Agent. (22) Name and addresses of present and previous employers. (23) What was your occupation previous to your marriage?. (24) Did your husband leave any property?. tion_ Value. Mortgages Mortgages (26) Do your parents or your husband's parents own any property? Location (27) Amount of man's insurance and name of company. (28) Was he a member of any fraternal order?. (29) Have you any money?. Bank. How long employed Mortgages. Amount.. Loca (31) Do you authorize us to inquire of the insurance company, fraternal order, or bank, if any?. (32) Of what lodge are you a member?. (33) Name and address of officer of lodge ?---- priest-- 711 Name and address of minister or (38) Are you receiving assistance from any organization, church, or other source? (39) Name and address of such organization, church, or other source. (40) To what extent are they assisting you? (41) Are any of your relatives or friends assisting you?.... what extent. (42) Give their names and addresses. (43) Have you any claim arising from the death of your husband? Το (44) Give names and addresses of two responsible persons other than relatives to whom we may refer: (45) Name_ (46) Address_ (47) Nature of acquaintance. Name Address-. Nature of acquaintance_ (Signature of applicant.) (48) STATE OF CONNECTICUT, County of being duly sworn deposes and says that she is the person described in and who signed as applicant the foregoing application; that she has read the said application, or has heard it read, and knows the contents thereof : and that each and all of the statements therein contained are true to her own knowledge, except only such statements as are therein stated to be made upon information and belief, and these statements she believes to be true. Sworn to before me at----------,this----------day of -- 19. (Notary Public.) |