MEIP-II Application - Tohono O'odham Nation

Tohono O’odham Nation Enrolled Member Economic Impact Payment II Program Application

This application is for the Tohono O’odham Nation Tribal Member Economic Impact Payment II Program. All eligible members who meet the qualification for the program will receive a $750.00 cash payment as a direct result of the COVID and current economic conditions that placed additional financial burden on members during these uncertain times. This application is not complete without providing a copy of a member’s tribal ID or certification.

Personal Information

Name(Required)

First Middle Last Suffix

Social Security Number(Required)

Date of Birth(Required)

Current Address

Address(Required)

Street Address/PO Box City State / Province / Region ZIP / Postal Code Country

Contact Information

Phone(Required)

Enter Email Confirm Email

Please allow 48 hours to receive a confirmation email.

Membership Information

First Digits of Enrollment Number(Required)

District Abbreviation in Enrollment Number(Required)

Last Two Digits in Enrollment Number(Required)

Tribal ID or Enrollment Certificate(Required)

Accepted file types: jpg, jpeg, png, gif, pdf, Max. file size: 2 MB.

Signature(Required)

Unique ID

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Tohono O’odham Nation Enrolled Member Economic Impact Payment II Program Application

Personal Information

Current Address

Contact Information

Membership Information

!Address

Tohono O’odham Nation

!Governance Office

Executive Office

!Website

www.tonation-nsn.gov

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