Application deadline: 9/30/2022

Clarks Point Village Council is providing all CLPVC tribal members who have been negatively impacted by the COVID-19 pandemic with a direct payment of $1,123.56 to help offset the financial hardships caused by the COVID-19 pandemic and increased living costs due to current world events. Applications will be processed in the order they were received. 

A separate application is required for every adult CLPVC tribal member (there is a separate application for CLPVC tribally enrolled minors or those with a Power of Attorney)

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* 1. Applicant Contact Information 

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* 2. Program Options *Disclaimer, cash assistance in any amount may affect those who receive public/government assistance. CLPVC strongly encourages any tribal member  who receives assistance through another program to verify if a direct payment could negatively impact them. 

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* 3. I understand that this program is for CLPVC tribal members who have been negatively economically impacted by the COVID-19 pandemic and have experiencing increased living costs due to COVID-19 and current world events. I also understand that payments will be issued via check and that it may take up to 30 days for a completed application to be processed. I also understand  if I opt for a vendor payment instead of a direct payment, that CLPVC reserves the right to decline a vendor payment if the vendor does not meet the intention of the funding (liquor stores, gambling...etc.). It the responsibility of the applicant to contact the vendor ensure they'll accept the payment.

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* 4. Additional Information. Please use this section if you have additional application information you would like to share with CLPVC. (If you elected for a vendor payment instead of a direct payment, please provide the vendor's name, address, and your account # here).

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* 5. If you have CLPVC enrolled children under the age of 18 for whom you are the legal guardian/parent; or if there is an CLPVC enrolled adult for whom you are the legal power of attorney, please list their full name and date of birth below. CLPVC will provide additional paperwork or access to another application to complete their elections for the program.

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* 6. I certify that I am a member of the Clarks Point Village Council Tribe, and that I am not enrolled in any other Tribe; that I have been negatively economically impacted by the COVID-19 Pandemic and current world events and that I understand that providing incorrect information could subject me to recoupment to funds and other lawful penalties. I certify that the information above is true and correct to the best of my abilities.

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