COVID-19 Financial Impact Relief Payment Program
Education
Cultural Library
Aanjigin Workforce Development
K-12 Services
- Prek-12 Scholarship Criteria
- Prek-12 Scholarship Application
- SNO Flyer
- SNO Honorarium Application
- Tutoring Subsidy Packet
Nitaazhitoojik Industrial Training (NIT) Program
Higher Education Services
- How to Sign PDF Documents With a Digital Signature
- Michelle Chingwa Education Honorarium (MCEH) Program
- 2020-003 Michelle Chingwa Education Honorarium Act
- Merit Scholarship
- Scholarship Opportunities (Descendant and Tribal Citizens)
WOCTEP – Career & Technical Education
- BMCC Programs:
- Medical Office, Certificate
- Business Administration, Associate (online program)
- Office Administration, Associate (online program)
- Construction Technology, Associate
- Construction Technology, COC
- Early Childhood Education, Associate (online program)
- Early Childhood Education, COC (online program)
- Computer Information Systems, Associate (online program)
- Computer Science Web Development, Associate (online program)
- Medical Coding & Billing, COC (online program)
Elders
Enrollment
For Name Change – you must provide the Enrollment Office with the Marriage License/Divorce Decree/Name Change Order.
Applications For Citizenship
Please contact the Enrollment Office at (231) 242-1521 for an Application for Citizenship.
To be eligible for LTBB Citizenship you must be ¼ or more North American Indian blood quantum and trace to Little Traverse Bay Bands.
Below are resources to help you with researching your genealogy.
Mainly Michigan Durant Roll Search
- Applicant Letter
- Membership Requirement
- ARTICLE V for packet
- Tree Chart
- Canadian Indian Bands Relinquishment
Address Change Forms – Now Fillable On Your Computer
- Adult Address Verification Form
- Minor Child and Ward of the Court Address Change
- Designee Address Verification Form
- Legally Incompetent Adult Address Change Form
Citizen Forms
- Adult Relinquishment
- Adult Conditional Relinquishment
- Blood Quantum Adjustment
- Minor and Incompetent Relinquishment
- Minor and Incompetent Conditional Relinquishment
- Release of information from LTBB deceased file
- Release of Information
- Michigan Indian Tution Waiver Application
- Tribal ID Request Form
- Tribal Directory Request Form
- Replacement or New Picture Identification Card Request Form
- Verification of Indian Preference (form 4432)
- Eagle Parts and Feathers Application
- Verification of Indian Preference for Employment
Marriage Statute
- WOS 2020-010 Marriage Statute
- Marriage Brochure
- Permissible Locations of Marriage Ceremonies
- Marriage Affidavit
- Mail in Certified Copy
Notary Forms
Health Services
Health Clinic
- Child 17 and Younger Patient Registration
- Adult 18 and Older Patient Registration
- Release of Protected Health Information
- Authorization For Use or Disclosure of Health Information
- Patient Consent Form
- Patient Rights and Responsibilities
- Privacy Practices
- Consent for Treatment of a Minor Child
Purchased Referred Care (PRC) – Formally known as Contract Health Services (CHS)
- Central Registration Yearly Update
- Purchased/Referred Care Handbook
- Release of Protected Health Information
- PRC’s Pre-screen Form for Alternate Resources
- MDHHS Medicaid Application
- Medicare Reimbursement Application UPDATED 2023
- Hearing Aid Assistance Application – For Payment Submitted Directly to the Provider
- Hearing Aid Assistance Application – For Payment Reimbursed to Patient
- Elders Dental Program App within 27 county
- Elders Dental Program App outside 27 county
- Managed Care Appeal Letter
- Appeal of Claims Denial Letter
Spring Prevention Program
Housing
Application Packets:
- Homeowner Assistance Fund Program
- Transitional Housing Assistance Packet
- Market Rate Rental Application
- DPA (Down Payment Assistance) Packet
- FPA (Foreclosure Prevention Assisance) Packet
- STR (Short Term Rental Assistance) Packet
- HIP (Home Improvement Assistance) Packet
- Well & Septic Application
- 27 County Service Area
- Form W-9
- LTBB Housing Department Rental Waitlist Application
- LTBB USDA Elder’s Rentals Waiting List Application
Human Resources
Human Services
Covid-19 Financial Impact Relief Payment V
Child Care Assistance
- Complete CHILDCARE APPLICATION -Fillable
- Child Care Assistance Income Guidelines
- Authorization for Criminal Background Check-Fillable
- Central Registry Clearance Request – Fillable
- Child Care – Change of Information- Fillable
- Child Care Timesheets-Fillable
- Child Care Reinstatement-Fillable
- Provider Agreement-Fillable
- W-9 FORM-Fillable
- Child Care Criminal Background Forms
- Authorization for Criminal Background Check-Fillable
- Central Registry Clearance Request – Fillable
USDA Food Distribution
- INCOME GUIDELINES – Effective October 1, 2020 to September 30, 2021
- USDA Application Fillable
- Document Requirement List
- Changes or Additions
- Zero Income Form
- Non-discrimination – English Version – Spanish Version
Low Income Energy Assistance (LIEAP)
LIEAP is CLOSED
Burial Assistance
- Burial Application
- Burial Program Statute
- 2021-001-Amendment-to-WOS-2006-017-Burial-Program
- W-9 Form
Community Service Block Grant (CSBG) – *CSBG is CLOSED*
Emergency Fund – The Emergency Fund is now CLOSED.
- Emergency Assistance Application
- Emergency Fund Policy and Procedure
- Emergency Assistance Policy POL-ADM 121911-001
- W-9 Form
Foster Care / Adoption
LTBB CCDF ARPA Stabilization Subgrants
Gijigowi Anishinaabemowin Language Department
Natural Resources
Planning
Youth Services
Miscellaneous
All Tribal Court Forms Can Be Found Here
LTBB Voter Registration
Request for Public Documents Form
Small Grant Application 2018
*Adobe Reader or Microsoft Office is required for any forms that are fillable.
Adobe Reader for Android
Adobe Reader for IOS
Microsoft Office for Android
Microsoft Office for IOS
