General Welfare Assistance Request Form

Tribal Member Name(Required)

Tribal ID #(Required)

Date of Birth(Required)

Physical Address(Required)

Mailing Address

Contact Number(Required)

Email

Please explain what you are requesting assistance for: (Please be specific)(Required)

The General Welfare Assistance funds are for an emergency circumstance that exhibits a clear health and/or safety threat. Please explain how your circumstance meets this criterion(Required)

The Cahuilla Band of Indians requires the submission of three bids to complete your request. Please attach and list the bids below:

Bidder Name or Company

Total $ Amount:

Bidder Name or Company

Total $ Amount:

Bidder Name or Company

Total $ Amount:

Cahuilla Band of Indians use ONLY: (below the line)

This field is hidden when viewing the form

Request Fulfilled (Y/N)

This field is hidden when viewing the form

Selected Bidder

This field is hidden when viewing the form

Amount Approved

This field is hidden when viewing the form

Tribal Council Approval (please sign)

This field is hidden when viewing the form

Date

This field is hidden when viewing the form

Motion #

Phone

This field is for validation purposes and should be left unchanged.

About

About

Enterprises

Tribal Government

Economic Development Corporation (E.D.C)

Gaming Commission & TGA

Tribal Administration

Family & Services

Fire Department

Human Resources

Justice Department

Planning Department

Contact Information

Cahuilla Band of Indians
52701 US Hwy 371
Anza, CA 92539

Phone | (951) 763-5549
Fax | (951) 763-2808

© . All Rights Reserved. | Privacy | Terms