CLAIM FOR COMMUTATION o QUARTERS FOR DEPENDENTS Act of April 16, 1918, (Public No. 139) This Act is not retroactive. It takes effect on April 16,1918. 1. Full name of dependent. 3. Post Office address 3. Degree of relationship is SERVICE NATIONAL ARCHIVES AND 4. If wife, state whether she is now your lawful wife 5. Child: Give date of birth 6. Child: Married or unmarzied 7. If over 18 yeare of age state mental condition if commutation is cloimed for same 8. Parent: Is parent actually dependent upon you for support? Note. "Dependent" is construed to mein that the officer has before April 18 or may thereafter actually and necessarily contribute regular) more than one-half the cost of a reasonable living for the pfrent. 9. Adopted Child: Prement proper record evi dence that all the formalities required for adoption by the law of the domicile wero complied with 10. Has application been made to Q.M. of Army for roome? 11. If not, why not 13. Certify, as to the number and location of the roome actually occupi ed by the wife ohild or dependent parent, and exnot period of auoly ocoupancy 13. 14. A I Certify that the foregoin account 15 correct; that I have not receiv- ed commutation of quarters, heat and light at any other station during the period covered by this voucher. Name Rank Note.--This certifionte in to be attached in DUPLICATE to ench voucher where commutation of quarters for dependente is claimed.