2024 Thanksgiving Meal Disbursement for Off-Reserve Members
This one time disbursement is to assist off-reserve head of household Sipekne'katik members with funds for a Thanksgiving meal, and will be paid out after Thanksgiving. In order to qualify as head of household please attach a copy of a lease or utility bill showing your name as head of household. Pay out days are Fridays if your application is in by Tuesday of that week..
Name
*
First Name
Last Name
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address - for contact purposes if the office needs to reach you
example@example.com
Phone Number
*
Please enter a valid phone number.
Date of Birth
*
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Month
-
Day
Year
Date
Band member Number (ex 025 09999 01 where applicable)
*
File Upload - Head of Household Information. Utility Bill or Lease showing your name on the document. Phone bills do not qualify.
*
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of
Payment Method
*
Direct Deposit - Please validate direct deposit account information with us by attaching void cheque or account information from your bank. (below). You can print screen your account information from your mobile banking app. (Nothing required for current employees and social clients - account info on file will be used)
Cheque - all cheques will be mailed out
FOR direct deposit -Does Sipekne'katik have your current banking info on file?
NO -Provide current banking information (as required from above)
YES - You do not need to add anything
Upload your VOID Cheque for direct deposit information here
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of
Signature - we understand it will not look like your signature, but please do your best
*
Date of Signature
*
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Month
-
Day
Year
Date
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