Fillable ENROLLMENT CHANGES (If different from above) (The Tulalip Tribes)

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ENROLLMENT CHANGES (If different from above) (The Tulalip Tribes)

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Name: ______________________________________ Roll#:________________________________
Mailing Address: ___________________________________________________________________
City: ___________________________ State: ____________ Zip: _____________________________
Phone: _________________________________ E-Mail: ___________________________________
(If different from above)
Street Address: _______________________________________________________________________
City: ___________________________ State: _____________ Zip: ____________________________
Phone: _________________________________ E-Mail: ___________________________________
Please include children with address changes:
1.) __________________________________________________________ Roll #_______________
2.) __________________________________________________________ Roll #_______________
3.) __________________________________________________________ Roll #_______________
4.) __________________________________________________________ Roll #_______________
Name Change
– Must have legal documentation and social security card to change name.
Newsletter/Mailings - Please allow 4-6 weeks for update. There will only be one newsletter sent
per household.
*CHANGES WILL BE SENT TO FINANCE. UPDATES NEED TO BE COMPLETED BY THE 18TH
TO BE EFFECTIVE FOR PER CAPITA* PLEASE PROVIDE ADDRESS CHANGES TO OTHER
APPLICABLE DEPARTMENTS WITHIN THE TRIBE, THIS CHANGE WILL ONLY DIRECTLY
APPLY TO ENROLLMENT, FINANCE & MAILOUT/SEE-YAHT-SUB*
Date: _______________________________ Signature: _____________________________________
*******************************************Official Use Only**********************************************
Staff: Progeny ______________ Date: ____________ MOM ________________Date: ____________
Time:
Excel
C
Scanned
ENROLLMENT CHANGES
Return forms to Enrollment Department @ 6406 Marine Dr. Tulalip, WA 98271 - Fax (360)716-0209
**Only the legal parent or guardian can fill this form out for a minor**
**All the information that is provided is kept highly confidential within the Tulalip Tribes**
(03/2018) TDS-25202
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ENROLLMENT CHANGES (If different from above) (The Tulalip Tribes)

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Completed 20 July 2020

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