This program will provide a one-time COVID-19 Financial Impact Relief payment to LTBB adult Tribal Citizens up to one thousand dollars ($1,000.00) payment and a one thousand dollars ($1,000.00) payment for each minor LTBB Citizen dependent in their household, or to a parent/Guardian of a LTBB minor dependent LTBB Citizen, to help meet their needs created by the COVID-19 Health Emergency.

The adult Tribal Citizen or LTBB minor must be enrolled with the tribe by March 17, 2022 and has had a negative financial impact on their household as a result of the COVID-19 Health Emergency.

*Use this form ONLY for the V COVID-19 Financial Impact Relief Payment passed on 04/05/2022

*Adobe Reader or Microsoft Office is required for any forms that are fillable.