Nuchatlaht Membership Applications

These applications are available to our registered Membership to access emergency funding and other needs, including Medical Patient Travel, School Supplies, Food fish, Annual amusement attractions on Vancouver Island.

Medical

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 appointment confirmation. 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

Membership Support Application (Financial Hardship)

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

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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

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Vancouver Island
Annual Fair Application

Applications currently open for 2023

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

​​If you are unable to edit our document, you may use the Google Docs version found here: ​

https://docs.google.com/document/d/e/2PACX-1vR6kuzBJUTpwcrbHm3uMznKyc1vI4DY16CqSe-5zaKPKxTGM5hs7d77lKdP5onrzt4q_YoSRYz6xaGm/pub

Food Fish
​Application

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

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

*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
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