COVID-19 Financial Impact Relief Payment Program
Accounting
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. Membership
- Tree Chart
- Canadian Indian Bands Relinquishment
- DNA Brochure
Address Change Forms
- 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 Directory Request Form
- Enrollment Office Fee Schedule
- 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
- Notary Q&A
- WOS 2008-005 Tribal Notary Public
- Notary Statute Amendment
- Notary Application
- Tribal Notary Jurisdiction Map
Picture Tribal ID Requests
Services Provided
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 VI
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, 2022 to September 30, 2023
- 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
Gijigowi Anishinaabemowin Language Department
Natural Resources
Planning
Youth Services
Miscellaneous
*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
