Forms

Request for Personal Information by Research Body or Researchers for Research or Statistical Purposes under Paragraph 8(2)(j)

• 10-632E PDF fillable/saveable, version 2016-03-31 (A) (1.79 Mb, 1 page)

Request for Personal Information by Aboriginal Claims Researchers under Paragraph 8(2)(k)

• 10-513E PDF fillable/saveable, version 2016-03-31 (A) (1.46 Mb, 1 page)

Permissible Disclosure Request under Paragraph 8(2)(e) of the Privacy Act

• 10-658-1E PDF fillable/saveable, version 2016-03-31 (A) (1.89 Mb, 1 page)

Permissible Disclosure Request under Paragraph 8(2)(f) of the Privacy Act under an Agreement with Another Government

• 10-658-2E PDF fillable/saveable, version 2016-03-31 (A) (1.98 Mb, 1 page)

Direct Deposit Request - External Applicants

• 20-545E PDF fillable/saveable, version 2019-07-04 (307 Kb, 2 pages)
• 20-545E-S PDF print only, version 2019-07-04 (398 Kb, 2 pages)
• 20-545E-I PDF instructions, version 2019-07-04 (46 Kb, 3 pages)

Program Statistics Request

• 10-659E PDF fillable/saveable, version 2016-09-09 (A) (2.29Mb, 2 pages)

Statutory Declaration of Spouse or Common-Law Partner

• 83-151E PDF fillable/saveable, version 2017-08-31 (A) (120 Kb, 2 pages)

Statutory Declaration of Executor of a Will or Administrator of an Estate

• 83-153E PDF fillable/saveable, version 2017-08-31 (A) (230 Kb, 2 pages)

Statutory Declaration of Executor of a Will or Administrator of an Estate who is also the Surviving Spouse or Common-Law Partner

• 83-155E PDF fillable/saveable, version 2017-08-31 (A) (272 Kb, 2 pages)

Statutory Declaration of Surviving Spouse or Common-Law Partner

• 83-156E PDF fillable/saveable, version 2017-08-31 (A) (226 Kb, 2 pages)

Annual Excellence in Nursing Award Nomination

• 40-005E PDF fillable/saveable, version 2020-01-10 (89 Kb, 7 pages)
• 40-005SE PDF print only, version 2020-01-10 (165 Kb, 7 pages)

Oral Health Services Daily Record (OHSDR)

• 40-006E PDF fillable/saveable, version 2020-09-02 (233 Kb, 1 page)
• 40-006PE PDF print only, version 2020-05-26 (210 Kb, 2 pages)

Oral Screening Record (OSR)

• 40-007E PDF fillable/saveable, version 2020-09-02 (260 Kb, 1 page)
• 40-007PE PDF print only, version 2020-05-26 (210 Kb, 2 pages)

Band Council Resolution

• 80-005E PDF fillable/saveable, version 2016-03-31 (A) (77.9 Kb 1 page)

Application for Registration on the Indian Register and for the Secure Certificate of Indian Status (SCIS) (for adults 16 years of age or older)

Registration and Secure Certificate of Indian Status (SCIS): Guarantor Declaration

Registration and Secure Certificate of Indian Status (SCIS): Statutory Declaration in Lieu of Guarantor

Application for Registration on the Indian Register and for the Secure Certificate of Indian Status (SCIS) (for children 15 years of age or younger or dependent adults)

Secure Certificate of Indian Status (SCIS): Application for already registered persons

Application for Certificate of Indian Status

Indian Register Data Entry - Amendments

Indian Register Data Entry - Events

Financial Assistance Application

• 81-026E PDF fillable/saveable, version 2020-08-09 (179 Kb, 5 pages)
• 81-026SE PDF print only, version 2020-08-09 (221 Kb, 5 pages)
• 81-026IE PDF, instructions, version 2020-08-09, (61 Kb, 5 pages)

Individual Trust Account Payout Request

• 83-150E PDF fillable/saveable, version 2016-04-18 (A) (PDF, 134 Kb, 1 page)

Transfer of a Right to Possession of Reserve Land by Court Order

• 83-152E PDF fillable/saveable, version 2017-08-31 (A) (95 Kb, 1 page)

Assessment of Matrimonial Real Property and Statutory Declaration

• 83-166E PDF fillable/saveable, version 2017-08-31 (210 Kb, 2 pages)
• 83-166SE PDF print only, version 2017-08-31 (120 Kb, 2 pages)
• 83-166EI PDF instructions, version 2017-08-31 (139 Kb, 2 pages)

Claim to DIAND for Payment

• 20-550E PDF fillable/saveable, version 2016-07-20 (A) (100 Kb, 1 page)

Guarantee Loans Terms and Conditions Report

• 20-551E PDF fillable/saveable, version 2016-07-20 (A) (2.3 Mb, 2 pages)

Notification of Loan default

• 20-552E PDF fillable/saveable, version 2016-07-20 (A) (2.3 Mb, 1 page)

Ministerial Loan Guarantee Application (Individual and Band)

• 20-553E PDF fillable/saveable, version 2019-07-03 (259 Kb, 3 pages)
• 20-553E-S PDF print only, version 2019-07-03 (197 Kb, 3 pages)
• 20-553E-I PDF instructions, version 2019-07-03 (202 Kb, 5 pages)

Individual Band Council Resolution

• 80-005AE PDF fillable/saveable, version 2016-03-31 (A) (1.9 Mb, 2 pages)

Band Band Council Resolution

• 80-005BE PDF fillable/saveable, version 2016-03-31 (A) (1.5 Mb, 2 pages)

Individual Letter of Authorization (Self-Governing or Comprehensive Land Claim First Nations)

• 80-005CE PDF fillable/saveable, version 2016-03-31 (A) (1.5 Mb, 2 pages)

First Nation Letter of Authorization (Self-Governing or Comprehensive Land Claim First Nations)

• 80-005DE PDF fillable/saveable, version 2016-03-31 (A) (1.5 Mb, 2 pages)

Client Reimbursement Request – Medical Transportation

• 40-008E PDF fillable/saveable, version 2020-06-30, (254 Kb, 2 pages)
• 40-008SE PDF print only, version 2020-06-30, (155 Kb, 2 pages)
• 40-008IE PDF instructions, version 2020-06-30, (123 Kb, 2 pages)

Mental Health Counselling Coverage Prior Approval Request

• 40-001E PDF fillable/saveable, version 2020-02-28, (101 Kb, 4 pages)
• 40-001SE PDF print only, version 2020-02-28, (195 Kb, 4 pages)

Mental Health Counselling Provider Agreement

• 40-002E PDF fillable/saveable, version 2018-08-06, (99 Kb, 5 pages)
• 40-002SE PDF print only, version 2018-08-06, (214 Kb, 5 pages)

Mental Health Counselling Claim Request

• 40-003E PDF fillable/saveable, version 2019-06-14, (84 Kb, 1 page)
• 40-003SE PDF print only, version 2019-06-14, (138 Kb, 1 page)

Mental Health Counselling Appointment Confirmation

• 40-004E PDF fillable/saveable, version 2018-08-06, (81 Kb, 1 page)
• 40-004SE PDF print only, version 2018-08-06, (136 Kb, 1 page)

Information System Access Request

• 10-678E PDF fillable/saveable, version 2020-08-14 (182 Kb, 2 pages)

Claim for Progress Payment

• 10-671E PDF fillable/saveable, version 2016-09-09 (A) (1.47 Mb, 2 pages)

Supplementary Claim

• 10-672E PDF fillable/saveable, version 2016-09-09 (A) (1.46 Mb, 1 page)

Treaty Annuity Payment Request

• 83-088E PDF fillable/saveable, version 2020-08-17 (150 Kb, 2 pages)
• 83-088SE PDF print only, version 2020-08-17 (141 Kb, 2 pages)