FORM I.

THE VACCINATION ACTS, 1867 to 1898.

Notice from Public Vaccinator to Parent or other Person having Custody of Child of intended visit.

Τοι

In accordance section 1 (3) of the Vaccination Act, 1898 I hereby give you notice that I shall visit the home of the child

on

3

and shall offer to vaccinate it with glycerinated calf lymph, or such other lymph as may be issued by the Local Government Board.

Directions for fillup this Notice. 1 Name and address of parent or other

person hav

ing custody of

the child.

2 Name of child. 3 Date of intended visit.

WHEREAS you are in default under the above Acts, respecting the Child,1

I hereby require you [to have the said Child vaccinated within fourteen days from the date hereof, and do all other things the law requires touching the said Vaccination 2], or [to transmit to me within seven days from the date hereof the requisite Certificate concerning the Vaccination of the said Child ], failing which it will be my duty to take the proper steps for securing the enforcement of the law.

Directions for filling up this Notice.

1 Child's name.

2 Strike out the words which donot apply to the case.

NOTE.-When a Certificate of Postponement is renewed, the Case is to be Re-entered. All Re-Entries are to be made in Red Ink.

FORM N.

Summary of Proceedings under the Vaccination Acts, 1867 to 1898.