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 $3,000.00 toward housing (rent/mortgage/deposit) and/or utility costs (fuel/propane/gas/electric). This is a needs based program 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. Payments will be issued via check directly to the vendor. 

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. 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. 

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* 3. 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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* 4. Housing Assistance (Complete this section if you are electing to apply some or all of your assistance towards rent/mortgage/deposit).  If you live in a household where you are not on the lease/mortgage, please provide the name of the person on the account for reference and the account #. *If you rent from a private landlord and wish to make a payment directly to your landlord you must provide a copy of your lease/rental agreement letter.

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* 5. Utility Assistance 1 (Complete this section if you are electing to apply some or all of your assistance towards fuel/gas/propane/electricity).

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* 6. Utility Assistance 2 (Complete this section if you are electing to apply some or all of your assistance towards fuel/gas/propane/electricity).

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* 7. 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 also certify that the assistance above will be applied to the residence where I reside. I certify that the information above is true and correct to the best of my abilities.

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