Membership Support Forms

Welcome to our Membership Support Forms.

We have created these forms/applications for our registered members to receive funds for Patient Travel, meals when traveling to appointments, School Supplies for youth, or submitting Bank information for Direct deposit.

Patient Travel Application

For medical travel expenses (gas and meals). 

​We require up-to-date information (address, phone number & banking info), as well as a Doctor's referral. Please submit this form in advance of your doctor's appointment so that we may start the process and you may receive patient travel expenses on time.

Download Application

Patient Travel:
​Confirmation of appointment attendance

This form must be brought to any and all doctor appointments for confirmation of attendance, and then sent to the Band office after the appointment.
Send completed forms by email to: audrey.smith@nuchatlaht.com, or by Fax to 250-332-5907

Download Application

School Supplies
​Application

For members with youth currently attending a public school in need of school supplies. Applications must be submitted before the school term begins.

Download Application

Direct Deposit
​Application

Please ensure your banking information is up-to-date to receive direct deposit transfer of funds to your bank.

Download Application

Vancouver Island
Annual Fair Application

For registered Youth/children to attend the annual Vancouver Island Amusement Parks. 

Download Application

Food Fish
​Application

For registered Nuchatlaht First Nation members to receive food fish.
​Once completed, please send to: Office@nuchatlaht.com

Download Application

*Important Notice - Direct deposits will only be made on Tuesdays once a week. Please follow these guidelines and have your forms in advance of your appointment.

Cheque processing and Direct deposit process

Please submit cheque requests to the office by Wednesday at the latest or as soon as you know when funding is required; sooner is better to ensure your cheques or direct deposits are done.

• Medical Travel - Audrey Smith
• Education   - Audrey Smith

The following is the process for how your request is processed.

• Department Head Reviews
• Manager approves and signs cheque requisitions
• Accounting prepares cheque
• Councillors and/or Manager signs cheque
• Accounting Direct Deposits Thursday of next week or mailed

If your DIrect Deposit or cheque is not received by Thursday morning check with Department Head.

The above process takes one week to process so  submit your request as soon as possible.

Please email, fax, or mail your completed forms to the Band Office. Our contact info can be found below
↓