Fillable Enrollment Application (Delaware Nation)

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Enrollment Application (Delaware Nation)

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The Enrollment Application (Delaware Nation) form is 2 pages long and contains:

  • 1 signature
  • 17 check-boxes
  • 18 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Delaware Nation

BROWSE DELAWARE NATION (OK) FORMS

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Enrollment Application
MUST BE LINKED BY BIRTH CERTIFICATE TO AN ORIGINAL ALLOTTEE OR
BROTHER/SISTER OF AN ALLOTTEE
Amendment I effective March 6, 1976
REQUIREMENTS
All applications are submitted to:
• Citizenship Committee reviews the Enrollment Office’s research for each application
• Citizenship Committee makes a recommendation to the Executive Committee
• Executive Committee approves and denies all applications
REQUIRED DOCUMENTS
IF YOU ARE A MEMBER OF ANOTHER TRIBE PLEASE CONTACT YOUR TRIBAL
HEADQUARTERS TO OBTAIN A CONDITIONAL RELINQUISHMENT FORM.
Complete the Tribal Enrollment Application. Please make sure the application is signed and
dated.
If the name on the application differs from the Birth Name, please provide documentation of
name change i.e. Marriage License, Divorce Decree, Adoption Papers.
Complete the Family Tree form. This information is for research purposes. Please list the
applicant’s parents, grandparents and great-grandparents.
All applicants are required to submit a copy of the Original State Birth Certificate. All copies
must be legible. Hospital, county, city, commonwealth and parish birth certificates will not be
accepted. NOTE: NO DOCUMENTS WILL BE RETURNED.
Copy of applicant’s Social Security Card. Social Security card must show applicant’s current
legal name.
All applicants must possess Absentee Delaware Indian Blood through their biological
parent(s). All adoption decrees must be submitted with application.
Indian Blood: If the applicant possesses blood from another Federally Recognized Tribe,
please list tribes on the family tree form. PROVIDE COPIES OF APPLICANT’S PARENTS
TRIBAL IDENTIFICATION CARD
PLEASE NOTE: NO DOCUMENTS WILL BE RETURNED
DELAWARE NATION
PO Box 825
Anadarko, OK 73005
Phone (405)247-2448/Fax (405)247-5942
Enrollment Application
MUST BE LINKED BY BIRTH CERTIFICATE TO AN ORIGINAL ALLOTTEE OR BROTHER/ SISTER OF AN
ALLOTTEE Amendment 1, effective March 6, 1976
Name
Other names AKA
Male
Female
Address
City
State
Birth date
Age
Social Security #
Phone
Is the applicant adopted?
Yes
No
If yes, please attach a copy of adoption papers or other
legal documents pertaining to adoption with application
Give the name and allotment # of the Delaware Allottee(s) or brother/sister of the Delaware allotted ancestor
through whom eligibility for citizenship is claimed.
Allottee Number
Relationship of the Allottee(s) to you
Name of natural parent(s) who is a citizen of the Delaware Nation
Is applicant enrolled in another tribe?
Yes
No
If yes, what Tribe?
Eligible to be enrolled in another tribe?
Yes
No
If yes, what Tribe?
Yes
No
Have you received benefits, land or money as an enrolled member of another tribe?
Applicant signature (legal guardian)
Date
OFFICE USE ONLY - DELAWARE NATION CITIZENSHIP COMMITTEE
EXECUTIVE COMMITTEE
Date Office Received
Applicant eligible for enrollment? Yes No
Date: ___________________________
Chairman, Citizenship Committee
Citizenship Committee Member
Vice-Chairman, Citizenship Committee
Citizenship Committee Member
Secretary, Citizenship Committee
Denied
Approved
Date:
President, Delaware Nation
Secretary, Delaware Nation
click to sign
signature
click to edit
If applicants parents or grandparents are not GREAT-GRANDFATHER GR/GR/GRANDFATHER GR/GR/GR-GRANDFATHER
members of the tribe, please enclose copies
of their birth certificates.
GRANDFATHER TRIBE/BLOOD DEGREE TRIBE/BLOOD DEGREE TRIBE/BLOOD DEGREE
Applicant must submit legible copy of Original
Birth Certificate. No Docs TRIBE/BLOOD DEGREE GREAT-GRANDMOTHER GR/GR-GRANDMOTHER GR/GR/GR-GRANDMOTHER
Returned
FATHER TRIBE/BLOOD DEGREE TRIBE/BLOOD DEGREE TRIBE/BLOOD DEGREE
TRIBE/BLOOD DEGREE GREAT-GRANDFATHER GR/GR/GRANDFATHER GR/GR/GR-GRANDFATHER
GRANDMOTHER
TRIBE/BLOOD DEGREE TRIBE/BLOOD DEGREE TRIBE/BLOOD DEGREE
TRIBE/BLOOD DEGREE
GREAT-GRANDMOTHER GR/GR-GRANDMOTHER GR/GR/GR-GRANDMOTHER
APPLICANT
TRIBE/BLOOD DEGREE TRIBE/BLOOD DEGREE TRIBE/BLOOD DEGREE
TRIBE/BLOOD DEGREE GREAT-GRANDFATHER GR/GR/GRANDFATHER GR/GR/GR-GRANDFATHER
GRANDFATHER TRIBE/BLOOD DEGREE TRIBE/BLOOD DEGREE TRIBE/BLOOD DEGREE
TRIBE/BLOOD DEGREE GREAT-GRANDMOTHER GR/GR-GRANDMOTHER GR/GR/GR-GRANDMOTHER
MOTHER TRIBE/BLOOD DEGREE TRIBE/BLOOD DEGREE TRIBE/BLOOD DEGREE
TRIBE/BLOOD DEGREE GREAT-GRANDFATHER GR/GR GRANDFATHER GR/GR/GR-GRANDFATHER
GRANDMOTHER TRIBE/BLOOD DEGREE TRIBE/BLOOD DEGREE TRIBE/BLOOD DEGREE
TRIBE/BLOOD DEGREE GREAT-GRANDMOTHER GR/GR GRANDMOTHER GR/GR/GR-GRANDMOTHER
TRIBE/BLOOD DEGREE TRIBE/BLOOD DEGREE TRIBE/BLOOD DEGREE
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Enrollment Application (Delaware Nation)

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Completed 27 January 2021

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