SECOND REGISTRATION CARD (Face)
| NATIONAL RED CROSS | SAN FRANCISCO | |
| NO. | SECOND REGISTRATION | (DATE)1906 |
| Surname | Address | No. of Rooms | Rent | |
| At present. (Give exactly) | ||||
| April 17 | How long at this address? | |||
| First name | Age | Trade or usual occupation | Earnings per wk. ordinarily | Physical condition | Birth place and race | Years in S. F. |
| Man | ||||||
| Woman | ||||||
| Children | LOSSES | Description | Estimated value |
| House (owned) | |||
| Business: plant? | position? | ||
| Furniture and clothing | |||
| Injury to health | |||
| Others in household | Insurance: amount? | RESOURCES | |
| In what companies? | |||
| Savings: amount?Which bank? | |||
| Real estate: value? | |||
| Location? | |||
| Anything else? | |||
Above form as [illustration]
SECOND REGISTRATION CARD (Reverse)
| From which relief station has family received help? | |
| What are bread-winners doing? | PLANS FOR FUTURE |
| Name of employers | Family’s estimate on what it needs and its plans: |
| Present addresses | |
| Is work permanent? | |
| Employers before the fire of Present address | |
| How long does family expect to need help in food?in shelter? in other ways? | |
| Other referencesPresent address | Investigator’s suggestion as to what should be done: |
| Name of Church, Union, or other organization to which any member of family belongs | |
| Relatives: name, address, ability to help | |
| (Signature of investigator) | |
| Action taken: | |
Above form as [illustration]