Membership Forms

MEMBERSHIP FORMS

MEMBERS!
DO WE HAVE YOUR
UP-TO-DATE INFORMATION?

Ensure we have your up-to-date
contact and banking information.

need to update us?

Email: Office@nuchatlaht.com

Phone:
250-332-5908

We need the following information kept up to date for distribution and data collection purposes:

FULL Address,
Phone Number,
Email address,
Banking information for direct deposit,

direct deposit 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

*Important Notice -
Direct deposits will only be made on Thursdays once per week.

Please follow these guidelines and have your forms in advance of your appointment.

WHAT SUPPORT
DO YOU REQUIRE?

We offer our members a variety of services and support. Below are just a few:

- Membership Support Funding
- Patient Travel (attend out of town appointments)
- School Supplies,
- Annual Fair

SUBMIT
APPLICATIONS

Most applications can be emailed to Office@nuchatlaht.com upon completion.

Alternatively, you may fax us at 250-332-5907

Medical

Patient Travel Application

Q. What is the Patient Travel (PT) Application?
A. The Patient Travel application provides support to members needing to attend out-of-town appointments, when referred.

Eligibility: Registered Nuchatlaht Members

Requirements:
- A confirmation of appointment (to be attached to PT application),
- A confirmation client attended appointment (to be submitted after appointment),
- Up-to-date information (address, contact info, & banking information)

To ensure we can process your application quickly, we require applicants to submit application prior to scheduled appointment.

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

Membership Support Application
(Financial Hardship)

Q. What is the Membership Support Application?
A. The Membership Support application allows our membership to access Emergency Hardship Funding to ease financial hardship to assist paying off bills, or purchasing items of need.

The Membership Support Application is available for members that are experiencing financial hardship. Application may be accessed once per fiscal year/per member, and must be filled out completely before submitting to the office.

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. Please include a copy of your child's report card when submitting.

Download Application

Vancouver Island
Annual Fair Application

For registered Youth/children to attend the annual Fair events.

*Proof of payment must be submitted to Office@nuchatlaht.com (in form of receipt and/or photo of wrist band). A reimbursement will be issued.

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

REGISTRATION FORMS

REGISTER CHILD/YOUTH
WITH NATION
(15 YEARS OR YOUNGER)

Register your child or youth under the age of 15 years. Ensure to include all applicable information when submitting your application.

DOWNLOAD APPLICATION

REGISTER ADULT
WITH NATION
(16 YEARS OR OLDER)

DOWNLOAD APPLICATION

Request to Transfer Forms

STATEMENT OF CONSENT FOR TRANSFER OF AN ADULT

This document is for individuals wanting to transfer from a 3rd-Party First Nation to the Nuchatlaht First Nation. Use this document if you are of age 16 years or older.

download document

STATEMENT OF CONSENT FOR TRANSFER OF A CHILD

This document is for parents that want to transfer their child(ren) from a 3rd-Party First Nation to the Nuchatlaht First Nation. Parents please use this document if your child is 15 years or younger.

download document

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
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