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This form is intended to collect information from our members concerning the distribution of funds. If you submitted a paper application, do not send in a online application.

Eligibility
$100,000 CAD will be distributed to Metlakatla members who meet the following criteria:
-Registered members of Metlakatla First Nation who were alive as of September 5th, 2023.
-Any Metlakatla member who applied to Indigenous Services Canada(ISC) for registration on the Band List before September 5th, 2023, and can provide relevant ISC documentation will receive a distribution upon registration confirmed by ISC.

Minors
Minors (Members under the age of 19) are not required to submit distribution applications as their funds will be held in trust until they reach the age of 19. At that time, they will be able to submit a distribution application to the Metlakatla First Nation following the Distribution Policy and Procedures.

Power of Attorney, Dependents and Executors
If you are managing the estate of a Metlakatla Band member who passed away on or after September 5, 2023, we kindly request that you contact our office at your earliest convenience to obtain the necessary legal documentation. Your prompt attention to this matter will ensure the smooth processing of the estate in accordance with the relevant procedures and regulations.

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* 1. What is your full legal name as shown on your government issued ID?

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* 2. What is your status card number? (Numbers only)

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* 3. What is your date of birth as shown on your government issued ID?

Date

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* 4. What is your mailing address as shown on your government issued ID?

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* 5. What is your residential address?

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* 6. What is your phone number? (Numbers only)

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* 8. What is your banking institution? Choose from RBC, BMO, CIBC, NSCU, TD, Scotiabank or other (please specify)

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* 9. Where would you like to pick up your cheque? Choose from Metlakatla, Prince Rupert, Prince George, Vancouver, or other (please specify).

*Please note that members who choose to collect their cheques from locations other than the designated ones may encounter delays due to processing time. Distribution cheques cannot be sent via mail, direct deposit, or e-transfer.

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* 10. Upload your ID - FRONT OF FIRST PIECE OF ID-
This must be a valid government-issued ID that includes a photo.

For example: Drivers License, BC Services Card, Provincial Health Card, Passport or Status Card.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 11. Upload your ID - BACK OF FIRST PIECE OF ID -
This must be a valid government-issued ID that includes a photo.

For example: Drivers License,BC Services Card, Provincial Health Card, Passport or Status Card.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 12. Upload a secondary piece of ID -FRONT OF SECOND PIECE OF ID.

For example: Birth Certificate, BC Care Card or Current Bank or Credit Card that includes your name on it.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 13. Upload a secondary piece of ID -BACK OF SECOND PIECE OF ID.

For example: Birth Certificate, BC Care Card or Current Bank or Credit Card that includes your name on it.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 14. By submitting this application I acknowledge that any outstanding debts I owe to the Metlakatla First Nation will be deducted from my distribution cheque.

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* 15. I declare that all information provided is accurate and that this application was submitted by the individual applying.

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