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Off-Reserve School Cost Supplement

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Off-Reserve School Cost Supplement Form for Members of Peerless Trout First Nation

PTFN Trust – Off-Reserve School Cost Supplement Form
Name of Applicant:
Treaty Number:
Mailing Address:

  1. 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)
  2. Please attach proof of enrollment for each child.
  3. Please fill out the following – below are children under my care and living in my household that are PTFN Members under the age of 18, living off of reserve:

NAME
Birthdate
(D/M/Y) Treaty Number Proof of Enrollment
attached

  1. 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 Program.assistant@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 $500.00. For more information, please call 780-649-0666.

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