Forms Directory

K-12 Services

• Prek-12 Scholarship Criteria
• Prek-12 Scholarship Application
• SNO Flyer
• SNO Honorarium Application
• Tutoring Subsidy Packet

Nitaazhitoojik Industrial Training (NIT) Program

• NIT Application – NCMC
• NIT Assistance Application – IAI

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
  • MCEH Application
  • MCEH Petition Application
  • Michigan Indian Tuition Waiver Application
  • MCEH Regulations
• Merit Scholarship
  • Completion Merit Application
• Scholarship Opportunties 2020-2021 (Descendant & Tribal Citizens)

WOCTEP – Career & Technical Education

• WOCTEP BMCC Application packet – 2020
• WOCTEP NCMC application packet – 2020

• BMCC Programs:
• Business Administration
• Computer Information Systems
• Construction Technology
• Early Childhood Development
• Medical Office Certificate
• BMCC Office Administration

• NCMC Programs:
• NCMC Computer Information Systems
• NCMC Computer Numeric Control
• NCMC Computer Support Specialist
• NCMC Criminal Justice
• NCMC EMS Basic
• NCMC Medical Assistant
• NCMC Medical Billing and Coding
• NCMC Phlebotomy

0-Income Verification Form

Direct Client Services

Direct Client Services Program Application

Elders Snowplow Application

Emergency Fuel & Utility Application

Emergency Fuel Utility Program Application

Food and Utility Appropriation Allowance Application

Housekeeping Application

Release of Information

Respite Application

W-9 for Vendor Verification

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

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

Notary Forms

• • Notary Q&A
  • WOS 2008-005 Tribal Notary Public
  • Notary Statute Amendment
  • Notary Application
  • Tribal Notary Jurisdiction Map

Health Clinic

• Medicare Premium Reimbursement Program
• New Patient Registration
• Release of Protected Health Information
• Privacy Practices

Purchased Referred Care – PRC (Formally known as Contract Health Services)

• Contract Health Services Pamphlet
• PRC Handbook
• New Patient Letter & New Patient Registration
• Release of Protected Health Information
• Privacy Practices

Elder’s Dental Services

• 2019 Dental Application

Hearing Aid Assistance

• • • Hearing Aid Assistance Application Direct Bill – 2019
    • Hearing Aid Assistance Application Reimbursement – 2019

Application Packets:

• Transitional Housing Assistance Packet
• DPA (Down Payment Assistance) Packet
• FPA (Foreclosure Prevention Assisance) Packet
• STR (Short Term Rental Assistance) Packet
• HIP (Home Improvement Assistance) Packet – Updated 11/02/16
• Application For Sanitation Facilities
• 27 County Service Area
• LTBB Housing Department Rental Waitlist Application
  • Complete Housing Rental Application
• LTBB USDA Elder’s Rentals Waiting List Application
  • Elders Application
• Emergency Rental Assistance
  • Emergency Rental Assistance Program

Employment Application

LTBB Government Formal Termination Grievance Form

Regulatory Termination Grievance Form

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 OUT of Funds

• FY2021 LIEAP Application

Burial Assistance

• Burial Application
• Burial Program Statute
• W-9 Form

Community Service Block Grant (CSBG) – *CSBG is now Open*

• CSBG Application for FY 2021
• 2020 Annual Income Guidelines
• Zero Income Form 

CARES ACT CSBG Emergency Needs Program

• FY 2020 Annual Income Guidelines
• FY2021 CSBG CARES FUNDING APPLICATION -Fillable
• W-9 FORM-Fillable
• Zero Income Form

Emergency Fund – The Emergency Fund is CLOSED

• Emergency Assistance Application
• Emergency Fund Policy and Procedure
• Emergency Assistance Policy POL-ADM 121911-001
• W-9 Form

BIA Direct Assistance to Citizenship

BIA Direct Assistance to Citizenship Application

Foster Care / Adoption

• Preliminary Application

01052021 Application Instructions

2021-2022 LTBB Sturgeon Harvest Permit App

2021 Bay de Noc Application 2021

2021 BearApplication 2021

2021 Camping Application

2021 Canoe Application 2021

2021 Captain-Helper-Subsistence Activity Sheet

2021 Commercial Capt Helper Subsistence Fishing app 2021

2021 Commercial Fisher Small Grant Application 2021

2021 Commercial Fishing Apprentice Program Application

2021 Commercial MM 1 2 3 Closure Relief app 2021

2021 Covid 19 Releif Application

2021 Elk Application 2021

2021 Hunt Fish activity sheet 2021

2021 Hunt Fish Application 2021

2021 Impoundment Net Usage Application – 2021

2021 License Holder Survey for 2020 season

2021 Loaner Boat motor trailer App 2021

2021 LTBB Comm Fishermen Safety Equipment App – 2021

2021 LTBB Dock Usage App 2021

2021 LTBB Grid 517 & 518 Permit 2021 Application

2021 LTBB Gun Safe Application

2021 LTBB Sturgeon Harvest Permit App

2021 Other US Tribes LTBB Reservation Hunt Fish App

2021 Reservation Inland Hunt Fish App 2021

2021 Subsistence Netting Permit Application

2021 Walleye Permit Application

2021 Youth Rifle Application

LTBB Site Plan Review Requirements

LTBB Permit Application

Plan Review Application – Code Source PC

Project Intiation Form

LTBB Sign Permit Application

LTBB Site Plan Review Application

Youth Redistration Form – Afterschool Program Fall/Winter 2018-19
Required Youth Registration Packet
Required Parent/Volunteer Registration Packet

All Tribal Court Forms Can Be Found Here

LTBB Voter Registration

Request for Public Documents Form

Small Grant Application 2018

Donations 2018

Active Tribal Notaries