New York Milk Committee form RR-5-13-11-2000, a blank card for recording information about the economic and social status of an individual family seeking milk and welfare assistance from the Committee. Aditional space is provided for the reporting nurse to record notes or observations.
New York Milk Committee form C. 6-1-11-2000, a blank form for recording details of an institutional case in which an infant is reciveiving milk assistance at a health care facility or through a foster home.