This website is still under construction. Please stay tuned for further updates and features. Member Area Search for: MENU Contact Forms < Go to Services & Programs Page All forms available online are listed below. Departments are listed in the order they appear in the website menu. Additional forms can be found in the Member Area portion of the website. Important Please read the policies (if applicable) and information on the pages that are linked before filling out the applications and forms. Click to go to a section on the page. Tribal Government Our Heritage Services & Programs News & Events Employment Tribal Government Court & Justice Tribal Court Go to Tribal Court Forms Page > Petition for Judgement Petition for Writ Response to Writ Affidavit Petition Name Change - Adult Name Change - Minor Guardianship Packet Petition for Emancipation Protest of Intent to Attach Per Capita Protest of Intent to Offset Per Capita Tribal Spokesperson Go to Tribal Spokesperson Page > Spokesperson Code of Professional Responsibility Spokesperson Bar Application (Non-Attorney) Spokesperson Bar Application (Attorney) Spokesperson Wavier Request Notice of Spokesperson Form Notice of Spokesperson Form (ICW Matters) Enrollment Go to Enrollment Forms Page > Address & Contact Information Update Designation of Death Benefit Beneficiary Tribal Identification (ID) Request Release of Information Application for Enrollment Name Change on Tribal Roll Blood Quantum Correction Request Request Relinquishment Tribal Elections Go to Tribal Elections Application Page > Our Heritage Pow-Wow Go to Pow-Wow Page > Tribal History Book Go to Tribal History Book Page > Book Request Form Services & Programs Housing STHD Application Includes Homeownership, Home of Your Own, Low Rent (Siletz & Lincoln City), Elder/Disabled Rental Assistance, Emergency Voucher), Property Management, and Elders Cottage. Authorization for Release Form Home Ownership Programs Go to Home Ownership Programs Page > Down Payment Assistance HAF Pilot Program Rental Programs Go to Rental Programs Page > Workforce Housing Application Emergency Rental Assistance Development & Modernization Go to Development & Modernization Page > HDRHAP Application Rehabilitation Application Rehabilitation Update Application Sanitation Facilities Application Education Student Incentive Program Culture and Language Go to Culture and Language Page > Cultural Activities Request Form Head Start and Childcare Go to Head Start or Childcare Page > Head Start Application Childcare Assistance Application Childcare Provider Application Youth Go to Youth Page > JOM Application JOM Request for Services Youth Activities Form Post-Secondary Education and Scholarships Go to Post-Secondary Education or Scholarships Page > Higher Education Application Graduate Grant Application AVT Application Adult Education - Siletz Adult Education - Eugene Adult Education - Salem Adult Education - Portland Arthur S. Bensell Memorial Scholarship Pepsi – Craig Whitehead Scholarship Siletz Scholarship Cathern Tufts Memorial Scholarship Sharon Butler Scholarship Healthcare To to Healthcare Forms & Policies Page > New Registration Packet (Adult) New Registration Packet (2-18) New Registration Packet (Birth - 2) Registration Update Packet Authorization for the Use & Disclosure of PHI Consent for Treatment Request for Correction Amendment Request for Restriction(s) Request for Revocation for Restriction(s) Receipt of SCHC NOPP Other Forms Exercise Program Application (Diabetes Program) Go to Diabetes Program Page > Social Services Indian Child Welfare Go to ICW Foster Parent Page > Foster Home Application Foster Parent Questionnaire Elder Services Go to Elder Services Page > Monthly Stipend Direct Deposit Form Elders WEX Application USDA Food Distribution Go to USDA Application Page > FDPIR Application Shelter Utility Expense Verification Zero Income Worksheet Exempt Income Document Excess Medical Expenses Deduction Natural Resources Visit Fish and Wildlife Page for Latest Tag Drawing Other Programs and Services Minor Trust Request for Funds Go to Minor Trust Page > Student Laptop Application Go to Student Laptops Page > News & Events Go to Siletz News Page > Siletz News Subscription Form Restoration CD Request Form (Tribal Members Only) Employment and Contact Go to Employment or Contact Page > Employment Application Temporary Employment Application STBC Employment Application Criminal History Authorization Form Whistleblower Reporting Form Contact Siletz 201 SE Swan Ave. PO Box 549 Siletz, OR 97380 541-444-2532 Monday-Friday 8:00 AM – 4:30 PM Keep Up to Date Facebook Vimeo Search the Site Search for: Menu Government Heritage Services & Programs News & Events Employment Contact Copyright © 2021 Confederated Tribes of Siletz Indians Is there an issue on the website? 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