Image
Category
On Display
Object type
Material
Maker
Place
Date
Experimental Form 1 (Licence to use Wireless Telegraph), 1905

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

1905

Maternity patient form, Kunde, Nepal, 2005

Maternity patient form, Kunde, Nepal, 2005

2005

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

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

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

Paper 'triage' form for noting patient's 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's symptoms

circa 2014

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

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

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

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

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

Two telegraph message forms

1855

Wrong line order form D for passing from signalman to driver, issued by the Railway Executive, British Railways. (Three items),

wrong line order form

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

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

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

LNER lost property receipt form (unused)

LNER lost property receipt form (unused)

LNER wages receipt form (unused)

LNER wages receipt form (unused)

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

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

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

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

Foreign Traffic Light

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

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

Great Western Railway message form

1869

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

Cheshire Lines Committee summary of traffic form

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

BR/London Transport request form for privilege ticket

NER cloakroom indemnity form (Filey)

NER cloakroom indemnity form (Filey)

Form, paper, Claim for Allowances and Expenses, issued by British Rail. BR document no. 6763/2. Double-sided. Blank. Belonged to Robert Hilton, signalman at Whittlesey signal box, Peterborough.

Claim for Allowances and Expenses

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

Form, registration for Great Western Railway petrol fire engine

1913

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

NER indemnity form for parcels sent at ordinary parcels rate

1897

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

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

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

LNER pay through and recharge form (unused)

LNER pay through and recharge form (unused)

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

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

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

LNER form. Availability and use of steam engines.

LNER form. Availability and use of steam engines.

LNER lost property receipt form (unused)

LNER lost property receipt form (unused)

LNER form of indemnity for livestock travelling loose in horse boxes (unused)

LNER form of indemnity for livestock travelling loose in horse boxes

Pilotman's form of Electric Token Block System of Midland & Great Northern Railways Joint Committee. (3 items)

Pilotman's form of Electric Token Block System

1940-1949

London & North Eastern Railway form for requesting "Vehicles for the Conveyance of Traffic at Passenger Train Rates," or "Special Vehicle Order." Form no. P 3074. Printed April 1924.

Vehicles for the Conveyance of Traffic at Passenger Train Rates

1924

Message received form from the London and North Western and Great Western Companies - Shrewsbury and Hereford Railway. Message received at Hereford Station on May 3rd, 1869.

London and North Western and Great Western Companies message form

1869

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

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

London Midland & Scottish Railway Company account form

Form, paper, Staff Absent from Duty owing to Sickness or Accident, issued by British Rail. BR document no. 7050. Blank. Belonged to Robert Hilton, signalman at Whittlesey signal box, Peterborough.

Staff Absent from Duty owing to Sickness or Accident

North Eastern Railway acknowledgement of receivership form, relating to a working time table for May 1886. Issued to Mr. Wright, Station Master at Danby Wiske station.

NER acknowledgment of recievership form

1886

London Midland & Scottish Railway form "Consignment Note for Passenger's Unaccompanied Luggage sent under the "C.L.", "D.L." or "P.L.A." (Collected & Conveyed) (Conveyed & Delivered) (Collected Conveyed & Delivered) Arrangement." Found at Sandal & Walton station.

Consignment Note

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

pilotman form

1908

NER acknowledgement form (unused), 1914

NER acknowledgement form (unused), 1914

1914

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

Manchester Sheffield & Lincolnshire Railway transmitted message forms

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

Report of Train Divided

1924

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