Willmar tribune. [volume] (Willmar, Minn.) 1895-1931, 1919-06-25

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.compens lion or Is likely to result IN
death, or disability, but II such injury
becomes apparent later and within
one year sitter discharge or resigna.
ton, the officer or enlisted man should
at once write In substance as follows
to the Comp lion! Claims Section,
Bureau Of War Risk Insurance. Wash.
ington, D. c.: 3s Isl
-. John Howard Smith. Army Serial
- No. 85634, formerly Private Norc.
!, es. Enlisted October 20, 1917,at
= Rockford III. DisehafgeQ Janu.
:ary IS 1919. Present 4iidress, s132
Willow Street, Rockford, III. -
Bureau OF War Risk INSURANCE,
: Attention, Compensation Claims doe
ton, Treasury. Department,
s.. Washington, DC.
i Gentlemen:f -a1&Ts ; 8 c:;z'sI
/, the =above-namedse enlisted man,
was honorab1y discharged from: the
Army on January 5, 1919. AT the
medical examination given 4:ne AT
the time I was not found to he suf-
fering from any injury likely ito re.
suit in death or disability. Please
send me copies of forms 526 and E504
Of the War Risk 1nsur aneesR bureau
= with instructions sas ,towhere shall
report for medical examination Sass
believe that I am suffering from an
injury which existed at the time OF
my discharge but which was not
discovered, and from (which death
or disability likely to result at
some later time.
Very truly yours, 80
(S1gned) John Howard Smith,
1872 Willow Street,
Rockford, Ill. = -
Upon the return to- the Compensa.
ton Claims Section of Form 526i prop;
erly filed out and executed by the ap.
plicant, and upon the applicants un-
dergoing the required physical exam:
nation followed by the return to the
Claims Section Of Form
504 properly filed out and executed
by the physicians before whom the
applicant was instructed by the Com
pensation- Claims Section to appear
and be examined, an award OF compen:
sation will be made If 1t is found that
the applicant is entitled to such
award. If it is found that he: is not
entitled to an award, but that he is
suffering from an injury from which
death or disability is likely to result
at some time later, certificate will
be issued. ::
It should always be borne in mind
that compensation may only me grant
ed for death or disability from person
al injury suffered or disease contract.
ed in line of duty when employed in
service, and that the certificate grant
ed under the provisions discusser In
this paragraph will not authorize re-
covery of compensation for death or
disability resulting from some other
cause than the injury or disease for
which the certificate was granted.
For example, If the certificate stated
that the discharged soldier was stuff
ering from a certain named injury
likely at some time later to result in
death or disability, but his death or
disability was the result OF train
accident, neither he nor those within
the class of beneficiaries Of >compensa.
ton would have any claim for compen.
sation on account of his disability
from this cause not connected with
the injury or disease contracted In
line of duty for which the certificate
was issued. ;
Headquarters Civilian Relief, Fifth
Street, South of Lewis Block, Will
mar Phone 727.
Mrs. R. J. Wolfangle in charge.
Office hours, 100 p. m. to 500 p. m.