Forms

Vital Statistics

• Enrollment Application
• Tribal Roll Name Change
• Change of Address Notification

Health and Social Services

• Authorization to Release Information to Designated Individual
• Authorization to Release Information to the Eastern Shawnee
• Pre-Authorization of Treatment Request
• Coordination of Benefits Questionnaire
• Direct to Vendor Payment Health Expense Claim Form
• Reimbursement Request Form
• Landlord or Roommate Utility Assistance Information

Wellness Center

• Gym Membership

Children and Family Services

• List of Child Care Documents
• Child Care Application
• Client Responsibilities and Agreement Form
• Employment Verification Form

Education

• Scholarship/On The Job Training Application
• 6th-12th Grade Application
• 2012-2013 Scholarship Guidelines

Business Committee

• Business Committee Minutes Request Form

Election Board

• Voter Registration
• General Council Materials Request Form

Tribal Administration

• Application for Employment
• RBEG Loan Application

 Housing Authority

• Housing Authority Application