REQUEST FOR CONTACT PERSONS AND ORGANIZATIONS

COOK INLET TRIBAL COUNCIL
REQUEST FOR CONTACT PERSONS AND ORGANIZATIONS
We often need to contact persons or organizations that can verify your situation to determine your program eligibility. When we contact these persons or organizations, we tell them our name, title, and that we work for Cook Inlet Tribal Council’s ETSD Programs. We are prohibited by law from telling them anything about you or about your CITC Case.

The information we most often need to verify is where you live, who lives with you, and your household’s income and resources and absent parent information.

Please provide the information requested below:
Participant's First Name
Participant's Last Name
Participant Email
example@example.com
NAME OF SOMEONE WHO KNOWS YOU WELL*
MAILING ADDRESS
DAYTIME TELEPHONE NUMBER*
NAME OF SOMEONE WHO KNOWS YOU WELL
MAILING ADDRESS
DAYTIME TELEPHONE NUMBER
NAME OF LANDLORD
MAILING ADDRESS
DAYTIME TELEPHONE NUMBER
FINANCIAL INSTITUTION (BANK, CREDIT UNION)
MAILING ADDRESS
DAYTIME TELEPHONE NUMBER
EMPLOYER
MAILING ADDRESS
DAYTIME TELEPHONE NUMBER
Should be Empty: