Pod-Office Insurance for Labourers. 91 
No. . Post-Office Friendly Society. 
District . s. d. 
A B of C . Monthly Contribution 
This is to certify that you, the aforesaid A JB , were this day 
admitted a Member of the Post-Office Friendly Society ; and that you will be 
entitled by right of this Insurance to receive out of the Funds thereof [six 
months after this date or immediately] the benefits of the Class 
Sickness-pay and Burial-money. 
„. j Shillings, weekly Sickness-pay till 70. 
I Pounds, Burial-money, to be paid at your death. 
Provided always, that nothing which you have stated touching your age, or 
health, or constitution, in the answers signed by you in your jjroposal to 
make this Insurance, shall be found untrue ; and that a first monthly contri- 
bution as above, due this day on account of this Insurance, and a like monthly 
contribution to become due on the of every month until you 
shall be 70 years of age, shall be duly paid; and that this Insurance shall be 
subject to the rules and regulations of the said Society in every respect. 
Signed , this day of in the year 
Examined 
Entered (Stamp of the District Office where 
payments are to be made.) 
No person shall make any insurance for sickness-pay by which 
1 he will receive more than |^ths of his average weekly wages, under 
I liability of forfeiting all moneys paid on account of his insurance. 
! * Members are to give notice of change of district, in order 
that their insurances may be transferred to the district in which 
they are going to live. 
* Contributions to be paid monthly, or, if the amount is not 
less than 2s., the same may be paid twice a month, viz. on 
day in the first and third weeks of the month. Every member 
shall have a contribution card on which the officer shall note 
the date of receiving and the amount of the contributions, and 
initialise the entry. 
Benefits not to be due till six months after admission, unless 
six monthly contributions are paid on admission. 
* Sickness-pay shall be of two kinds, full-pay and half-pay. 
Full-pay sickness shall be a state of total and undisputed inca- 
pacity, by reason of illness or injury, to do any work whatever. 
* When a member is sick, and proceeds to claim weekly pay, 
he shall send notice of his sickness to the Postmaster of the 
district in which he resides. One week's sickness-pay shall be 
due to the member on the expiration of one week from the day 
upon which the notice of sickness was received, and the second 
week from the day on which the first week's sickness-pay was 
due, and so on week by week, and shall be paid in a way con- 
venient to the member. 
* Medical evidence to accompany the notice, otherwise the 
lotice is invalid. 
Note. — The Rules marked * to be printed on the back of the Policy. 
