Confederated Salish and Kootenai Tribes

CSKT COVID-19 Relief

Request for Support

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Please make a selection!

Filling out the CSKT COVID Economic Relief form a second time is not permitted if you already recieved August COVID Relief from CSKT!

Information

Your Name Required!
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/ / Birthday Required!

Mailing Address

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Your City Required!
Your State Required!
Your Zip Code Required!
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Physical Address

(If you have no physical address, enter NONE in the first line)

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CSKT Enrollment Information

Select One!
Your CSKT Enrollment Number Required! Enter up to five digits of your enrollment number.

COVID-19 Hardship Information

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CSKT Enrolled Children Information

You must select one!

CSKT Enrolled Children Information

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If filling out on a mobile device works best in landscape mode.

Enter up to 5 Digits when adding children's enrollment numbers!

 

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COVID-19 Payment Options

Select the payment option.

(If not completed by July 30th payment will be sent to the percapita address currently on file or the direct deposit address on file).

**IMPORTANT** New bank account information or a change in direct deposit will need to be submitted (no later than July 30th, 2020). 

By submitting this form I agree and hereby certify that I meet the CSKT COVID-19 Relief requirements for financial need, and the information submitted on this application is true and correct to the best of my knowledge. I also authorize CSKT to share this information with its Enrollment Office to verify my tribal enrollment status and/or the tribal enrollment status of the minor(s) in my custody and care. If applicable, I authorize CSKT to share this information with its Social Services Department to verify the tribal member minor(s) in my custody and care.
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