Image
Category
On Display
Object type
Maker
Place of origin
Date

Experimental Form 1 (Licence to use Wireless Telegraph), 1905

1905

certificate for surrender by a blind person travelling for business purposes accompanied by an attendant

Maternity patient form, Kunde, Nepal, 2005

2005

Two telegraph message forms, as issued by the Electric and International Telegraph Company, c. 1855

Two telegraph message forms

1855

Form, registration for Great Western Railway petrol fire engine, Swindon, 1913.

Form, registration for Great Western Railway petrol fire engine

1913

Meteorological Table for the Quarter ending -----, from Observations taken at the Observatory of --------. [Blank form to be filled in by local observers for Registrar General (of the British Meteorological Society?) Information requested concerns weather and "the periodical return of the seasons" (shrubs, fruit trees, birds, crops etc). Examples are given of the best way to use Glaisher's correction tables in order to find mean observations. 185-]

Meteorological Table for the Quarter ending -----

1850-1859

COVID-19 vaccinator competency assessment tool, issued to Ian Clarke before his first shift as a St John Ambulance vorlunteer vaccinator at Mowden Park Rugby Club, Darlington, UK, May 2021

COVID-19 vaccinator competency assessment tool

2021

Order form used by the North Eastern Railway (NER), Northern Division, Engineer's Department. Filled in with an order for special window cleaning brackets, 31 July 1906.

NER Engineer's Department Order Form (supplied title)

1906

North Eastern Railway Message By Train form, 1906. Urgent Train Message No 1. Filled in with a request for a fitter to work on gas and water pipes, 12 November 1906.

NER Message by Train form (supplied title)

1906

Form, seven copies, Cheshire Lines Committee, Summary of Traffic Form to the Irish Railway Clearing House.

Cheshire Lines Committee summary of traffic form

Form, issued to the Directors of The Banbury & Cheltenham Direct Railway Company, re 6% Preferred stock, Consolidated Bank Ltd, Threadneedle Street, London, 1875, printed on paper.

form to the directors of the Banbury & Cheltenham Direct Railway Company re 6% preferred stock

1875

Form, fifteen copies, Dundalk, Newry and Greenore Railway, "Foreign Traffic Light" Form for the Irish Railway Clearing House, unused.

Foreign Traffic Light

Pad of Manchester Sheffield & Lincolnshire Railway transmitted message forms, printed 1870s?

Manchester Sheffield & Lincolnshire Railway transmitted message forms

Book of counterfoil forms, Great Northern Railway, signed by the Station Master of Horncastle authorising meals and men on fog signalling duty, 1890-1922.

Great Northern Railway book of counterfoils

1890-1922

LNER form detailing the service and salary history of John James Percy Beach, a clerk with the Great Central Railway and the LNER from 1906 to 1944.

Salary history of John James Percy Beach

1944

Dividend voucher issued by the Great Western Railway Company for the half year ended 30th June 1946 and payable 21st August 1946. Voucher number 13288 issued to John Dearden.

Great Western Railway company dividend statement

1946

Message received form from the Great Western Railway. Message received at Hereford Station on April 19th, 1869.

Great Western Railway message form

1869

Form, London & South Western Railway season ticket holder travelling without season ticket.

season ticket holder travelling without season ticket form

Paying in form, four copies, London & North Eastern Railway, Blank, 1943.

paying in form

1943

Message received form from the London and North Western and Great Western Companies - Shrewsbury and Hereford Railway. Message received at Salop Station on April 17th, 1869.

London and North Western and Great Western Companies message form

1869

Form, paper, Your Comments and Compliments, issued by East Coast, 2009. One of the first set of documents issued by East Coast on their assumption of the franchise from GNER.

Your Comments and Compliments

2009

BR/London Transport request form for privilege ticket/s (unused)

BR/London Transport request form for privilege ticket

LMS form of indemnity (with form of permit attached) for passengers travelling in guard' s van or certain other vehicles

London Midland & Scottish Railway form of indemnity

NER acknowledgement form (unused), 1914

NER acknowledgement form (unused), 1914

1914

NER indemnity form for parcels sent at ordinary parcels rate (unused)

NER indemnity form for parcels sent at ordinary parcels rate

NER indemnity form for parcels sent at ordinary parcels rate, 1897

NER indemnity form for parcels sent at ordinary parcels rate

1897

LNER pay through and recharge form (unused)

LNER pay through and recharge form (unused)

LNER wrong line order form D (signalman to driver - unused)

LNER wrong line order form D (signalman to driver - unused)

LNER lost property receipt form (unused)

LNER lost property receipt form (unused)

Pilotman form for working of single line by pilotman during obstruction, under train staff and ticket system, issued by Southwold Railway

pilotman form

1908

LNER wrong line order form A (guard to signalman - unused)

LNER wrong line order form A (guard to signalman - unused)

London & North Eastern Railway form "Wrong Line Order Form B," passed from the driver to the signalman to allow an assisting engine or breakdown train to proceed to a broken down train. Form no. O 6363. Printed January 1933.

Wrong Line Order Form B

1933

Midland & Great Northern Railways Joint Committee "Examination of Fog-Signalmen." Set of questions and answers for ensuring fog signalmen are following procedures and maintaining equipment. Includes a diagram of Clayton's Patent Fogging Machine. Printed paper on a folded linen backing.

Examination of Fog-Signalmen

London & North Eastern Railway form "Report of Train Divided." Form no. O 6032. Printed June 1924.

Report of Train Divided

1924

Unused London & North Eastern Railway forms "Report of Accident," including boxes to be filled in if a level crossing was involved. Form no. O 6372. Printed January 1946.

Report of Accident form

1946

London & North Eastern Railway form for requesting a doctor to attend a member of staff in need of immediate medical attention. Form no. M 9510. Printed May 1924.

Letter requesting a doctor's attendance (supplied title)

1924

Paper 'triage' form for noting patient symptoms, for use in the restricted 'red zone' areas by frontline health workers during the Ebola outbreak in Sierra Leone, 2014-2015

Paper 'triage' form for noting patient symptoms

unknown

Form, paper, Accident/Assault/Occupational Ill Health while on Duty - Report by Injured Person , issued by British Rail. BR document no. 6766 revised July 1990. Blank. With Business Safety Group advice sheet about detonators and sick pay claim form attached. Belonged to Robert Hilton, signalman at Whittlesey signal box, Peterborough.

Accident/Assault/Occupational Ill Health while on Duty - Report by Injured Person

Form, paper, Claim for Private Car Allowance, issued by British Rail. BR document no. 6516/1. Blank. Belonged to Robert Hilton, signalman at Whittlesey signal box, Peterborough.

Claim for Private Car Allowance

Blue paper form for keeping patient details for use by frontline health workers during the Ebola outbreak in Sierra Leone, 2014-2015

Blue paper form for patient details

circa 2014

Paybill, eight copies, Cheshire Lines Committee, "Fog Signalling and Snow Clearing for the Week Ending 193?.

Fog Signalling and Snow Clearing

Form, British Transport Commission, (Male Wages Grades) Pension Scheme, membership acceptance form of Arthur Victor Bowers, 1st October 1954, Form C.1, BR6905, printed on paper.

Form, British Transport Commission

1954

Pad, London Midland & Scottish Railway Joint requisition forms.

LMS Joint Requisition Forms

Account form, Eleven, London Midland and Scottish Railway Company, unused

London Midland & Scottish Railway Company account form

North Eastern Railway form for the Return of Unclaimed Luggage, Parcels &c., printed September 1912. Items were sent to the Lost Property Depot at York. The form has been filled in for the return of a boy's school bag to Shildon on 21 May 1913.

North Eastern Railway Return of Unclaimed Luggage, Parcels &c. form

1912-1913

Stockton & Darlington Railway Mineral Department form for the Daily Return of Laden and Empty Wagons and of Coals or Coke Wanted, dated Monday 8 June 186[4]?, at Redcar Station. Completed forms were sent to Richard Pickering at Shildon.

Daily Return of Laden and Empty Wagons and of Coals or Coke Wanted (supplied title)

1864

Form of Application, Wye Valley Railway Company (to be worked and leased in perpetuity by the Great Western Railway Company), London, 1875.

form of application wye valley railway company

1875

Account form, Dundalk, Newry and Greenore Railway, unused

Dundalk, Newry and Greenore Railway account form

Pad of forms. London, Midland and Scottish Railway Company forms for the reporting of failure of instruments or bells, reference ERO 23992 (unused).

London Midland & Scottish Railway Company failure of instruments or bells

London & North Eastern Railway release pass, "Home Guard: Mustering in Emergency". Certificate issued to Mr F. J. Wood (Signalman) at Derby and enrolled in the 13th Boro Battalion, requiring him to, in an emergency, carry on with his railway duties until released by the company. Dated 1 November 1942.

London & North Eastern Railway home guard: mustering in emergency

1942