Enrollment/PerCapita Address Change Form

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Make sure your first and last name is as it shows on your Tribal ID / Records.
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If you have changed your last name please provide below.
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Please provide your mailing address change below.
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Please provide your physical address:
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If you live on the Flathead Indian Reservation please include your tribal voting district by choosing one of the listing in the drop-down.
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If you receive Child Support or are paying Child Support it is up to you to make sure you send your changes to the Child Support Enforcement Office as well.
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by submitting this form I acknowledge that the above information is true and correct and take full responsibility for any misinformation.
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