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Elders Monthly Supplement

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Elders Monthly Supplement Form for Members of Peerless Trout First Nation

PTFN Trust – Elders Monthly Supplement Form

Name of Applicant:                                                                                

Treaty Number:                                                                                      

Mailing Address:                                                                                    

Date of Birth:_____________________________________________

(Proof of age & PTFN Membership to be verified with PTFN membership)

Please choose one of the following for payment:

  • I prefer to have my Supplement direct deposited; I have attached my banking info
  • I prefer to have my Supplement made out in Cheque.
  • I prefer to have my Supplement deposited in a third-party account (ie: family) (please attached the third-party consent form)

Please attach a void cheque to have the funds deposited to your bank account. Please return form by the following methods: drop off at the PTFN Trust Department or emailing to esther.netowastanum@ptfn.net. Payments are subject to staff processing availability, please allow time for processing. If you would like your benefit deposited in a third- party bank account (ie. Family) please submit consent form. Each eligible member will receive $150/month. For more information, please call 780-649-5887.

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