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POOR, SCOTLAND.
1. Complaints of Inadequate Relief.
FORM OF APPLICATION FOR PAUPERS COMPLAINING OF INADEQUATE RELIEF, APPROVED BY THE SECRETARY FOR SCOTLAND , OCTOBER 30 , 1895.<r1>
I. , one of the Poor on the Roll of the Parish of complain that the Relief afforded to me is inadequate; and I pray the Local Government Board to investigate the nature and grounds of my complaint,
and, in the event of my complaint being ascertained to be well
founded, and not removed by the Parish Council of the said
Parish, then to declare by a Minute that I have a just cause of
action against the said Parish.
Signature or mark of Applicant.
| If the Applicant cannot write, the Signature by a mark must be attested by a Witness in the following form :-" The above is the mark of the | Attestation. |
Signature of Witness. Dated of 189.
N.B.—The applicant must fill up the answers to the queries on the next page. The Inspector is bound, if required, to write down the answers for him. The Schedule, when filled up, must be left with the Inspector, who is directed, within twenty- four hours, to fill up the column for his remarks, and either return the Schedule to the Applicant, or transmit it to the Local Government Board, as the Applicant may desire.
⁂ If the relief offered or complained of is an offer of admission to the Poorhouse, the Inspector must state, either on the Schedule or along with it, the grounds upon which such offer has been made; and if in such a case the applicant alleges sickness, infirmity, or old age, the Inspector must transmit, along with the Schedule, a Certificate in the prescribed form by the Medical Officer as to whether the Pauper (and dependants, if any) can be removed to the Poorhouse without injury or not. When the Inspector does not admit the applicant's statement as to the extent and cause of his disability, or of the disability of his wife, the Inspector must transmit a Certificate by the Medical Officer as to the disability alleged; and if the applicant has a wife living in family with him, the Inspector must state upon the Schedule her age, and the extent of her ability to contribute to the maintenance of the family.
<r1> See Rules and Regulations of September 18 , 1845 , printed in Statutory Rules and Orders Revised, vol. 5, p. 422.