and by occupation is a a pensioner under years; that his -; hair, -; that ; that he is disabled as follows: he is eighteen hundred and made application to the Secretary of the Navy for the same. That said applications, to the best of his recollection and belief, embrace all his service in the Navy or Marine Corps, as an enlisted man, or as an appointed petty officer; that he has not been discharged for misconduct, and never deserted either branch of the service, except as hereinafter stated, viz: persons whom I certify to be respectable and entitled to credit, and who, being by me duly sworn, say that they were present and saw sign his name to the foregoing declaration; and they further swear that they have every reason to believe, from the appearance of the applicant and their acquaintance with him, that he is the identical person he represents himself to be; and they further state that they have no interest in the prosecution of this claim. hereby certify that I have no interest, direct or indirect, in the prosecution of this claim. [Applicant's post-office address:] [Signature of judge or other officer.] 'State whether Navy or Marine Corps, and date of last discharge. Application must be made before a court of record, or before some officer of such court authorized to administer oaths and having custody of its seal. When applicant or witnesses sign by mark, the certifying officer must state that the contents of the instrument were made known to them before signing. [Act of March 2, 1867.] A BILL to amend certain acts in relation to the Navy. SECTION 6. And be it further enacted, That to carry out the provisions of the eleventh section of the "Act for the better government of the Navy of the United States," approved July seventeenth, eighteen hundred and sixty-two, directing the surplus income from the naval pension fund "to be applied to the making of further provision for the comfort of disabled officers, seamen, and marines," there shall be paid out of said fund to every person who, from age or infirmity, is disabled from sea service, but who has served as an enlisted person in the Navy or Marine Corps for the period of twenty years, and not been discharged for misconduct, in lieu of being provided with a home in the Naval Asylum, Philadelphia, if he shall so elect, a sum equal to one-half the pay of his rating at the time he was discharged, to be paid to him quarterly, under the direction of the Commissioner of Pensions, and said certificate shall be his warrant for making payment as herein authorized: And provided further, That any disabled person who has served in the Navy or Marine Corps as an enlisted man for a period not less than ten years, and not been discharged for misconduct, may apply to the Secretary of the Navy for aid from the surplus income of the naval pension fund; and the Secretary of the Navy is authorized to convene a board of not less than three naval officers, one of whom shall be a surgeon, to examine into the condition of the applicant, and to recommend a suitable amount for his relief, and for a specified time; and upon the approval of such recommendation by the Secretary of the Navy, and certificate thereof to the Commissioner of Pensions, the amount shall be paid in the same manner as is provided in this section for the payment to persons disabled by long service in the Navy; but no allowance so made shall exceed the rate of a pension for full disability corresponding to the grade of the applicant, nor, if in addition to a pension, exceed one-fourth the rate of such pension. The foregoing provisions of the law have been re-enacted in Sections 4756 and 4757 Revised Statutes, which have been amended by the following: [Act of December 23, 1886.] Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, That section forty-seven hundred and fifty-six and section forty-seven hundred and fifty-seven of the Revised Statutes of the United States be, and the same are hereby, amended by inserting the words “or as an appointed petty officer, or both," after the words as an enlisted person" in the former section, and after the words "as an enlisted man" in the latter section. [3 032.] The undersigned respectfully applies to the honorable 66 Secretary of the Navy, for the benefits of the sixth section of the act approved March 2, 1867, having served years, and was last discharged from the U. S. S. as 188—, and furnishes the following statement of his naval service: all and was born, and has the following permanent marks and scars : — of which can be verified by the records of the Navy Department and the vessels named. 188-. [Signature :] K [3-020.] K DECLARATION FOR RESTORATION TO THE PENSION ROLLS OF A PERSON WHOSE NAME HAS BEEN DROPPED UNDER THE ACT OF FEBRUARY 4, 1862. [Rev. Stat., 4716.] the same being a court of aged and whose pension certifi record within and for the county and State aforesaid, years, who, being duly sworn according to law, makes the following declaration, asking to be restored to the pension rolls: That he is the identical who was pensioned on the rolls of the agency at cate, No. is herewith returned; that he has resided, since the first day of January, A. D. 1861, as follows:1 ; that during this period means of subsistence have been: 2 ; that has not borne arms against the Government of the United States, or in any manner aided or abetted the rebellion, or those prosecuting the rebellion, or manifested a sympathy with their cause, but, on the contrary, did, during the said rebellion, earnestly desire its suppression by force of arms; that he was last paid pension to the day attorney street, post-office of 18-;3 ; that to prosecute the above claim; that in the — of address is hereby appoints residence is at No. in and that and whom I certify to be respectable and entitled to credit, and who, being by me duly sworn, say that they were present and saw the claimant, sign mark) to the foregoing declaration; that they have every reason to believe, from the appearance of said claimant and their acquaintance with that is the identical person represents -self to be; and that they have no interest in the prosecution of this claim. [Signatures of witnesses.] Sworn to and subscribed before me this day of —, A. D. 189-, and I hereby certify that the contents of the above declaration, &c., were fully made known and explained to the applicant and witnesses before swearing, including the words. erased, and the words [L. S.] added; and that I have no interest, direct or indirect, in the prosecution of this claim. 'Here name the place or places at which the applicant has resided. [Signature.] [Official character.] 2 Here name the employment or other means by which a livelihood has been gained. 3 Here insert, if an invalid, "and that the disability for which he was pensioned still continues in a pensionable degree, and that he has not since reenlisted or been paid in the military, naval, or marine service of the United States;" if a widow or mother, "and she has not remarried since that date," or if remarried, give date. 6661-12 All the blanks in this form should be carefully filled and the requirements of the notes strictly observed. An honorable discharge from the service in all cases is necessary. Declarations of claimants, either for original pension or for increase of pension already granted, must be made before a court of record, or before some officer thereof having custody of its seal; said officer being fully authorized and empowered to administer and certify any oath or affirmation relating to any pension or application therefor. The claimant's identity and loyalty must be proven by two witnesses, certified by the judicial officer to be respectable and credible, who are present and witness the signature of the declarant, and certify to his identity and loyalty under oath or affirmation. Declarations and other papers should be as legible and as clear in statement as possible. Where any evidence is already on file in any department of the Government, a definite description of and specific reference to it will render it available in any subsequent claim. The post-office address (naming street and number in all large cities) of the applicant, attorney, and witnesses should be embodied in or accompany every application, and all evidence in each claim; and each change of residence of said parties, while communicating with the Pension Office or the pension agents, should be stated. Pensions are, by law, exempted from any liability on account of the obligations of the pen sioners, and no lien upon them can be recognized. All facts, testimony of which is required to establish a claim, must be proven by the affidavits of two or more credible witnesses, unless other evidence is specified. The statements of claimants, unless duly corroborated, are not accepted as evidence. Testimony in support of allegations made in a declaration may be taken before any officer whose authority and signature are duly certified, and who shall disclaim any interest, direct or indirect, in the prosecution of the claim. Persons desiring to complete claims pending at the decease of the claimants must furnish a duly verified certificate of their authority as heirs or legal representatives. With all claims for arrears, increase, or restoration to the rolls, the original pension certificate must be returned, or explanation of its absence must be given under oath. To facilitate the adjudication of claims, all the requisite evidence that is available should be forwarded with the application. FILED BY DECLARATION OF PENSIONER FOR RESTORATION TO THE ROLLS UNDER SECTION 26, ACT OF MARCH 3, 1873. [Sec. 4719, Rev. Stat.] L A. D. one thousand eight hundred and ninety- personally appeared before within and for the county and State aforesaid, years, who, being duly sworn according to law, makes the following declaration, asking to be restored to the pension rolls: That I am the identical pensioned on the rolls of the agency at and whose pension certificate, No. is herewith returned; that I was last paid at said agency to the 18-; -; that I have not claimed who was day of 2 -; and that I 3 attorney to prosecute the street, in the of pension since the date above given for the following reasons: and that my post-office address is whom I certify to be respectable and entitled to credit, and who, being by me duly sworn, say that they were present and saw the claimant, sign mark) to the foregoing declaration; that they have every reason to believe, from the appearance of said claimant and their acquaintance with that is the identical person represents -self to be; and that they have no interest in the prosecution of this claim. [Signatures of witnesses.] ——, A. D. 189—, and I hereby certify that the contents of the above declaration, &c., were fully [L. S.] made known and explained to the applicant and witnesses before swearing, I have no interest, direct or indirect, in the prosecution of this claim. 1 Here name the place or places at which the applicant has resided. [Signature.] [Official character. 2 Here state specifically the reasons why pension has not been claimed. 3 Here describe the disability for which restoration is claimed, and state (if an invalid) whether or not applicant has reenlisted since last pension payment, and, if so, give date, company, and regiment, and date of final discharge. If a widow or mother, state whether remarried, or, if remarried, give date. |