FORMS
COVID-19 ASSISTANCE
| ERAP Additional Funds Announcement |
| Emergency Rental Assistance Application |
| Zero Income Certification |
| QVIR Certification of Understanding Form |
| QVIR CARES Assistance Application |
| 2022 Youth General Assistance Application |
| W-9 Form |
| MLIHA COVID-19 Assistance |
| MLIHA COVID-19 Homeless Assistance |
EMPLOYMENT APPLICATIONS
| QVIR Application |
MEMBER & EMPLOYEE FORMS
EDUCATIONAL & SOCIAL SERVICES ASSISTANCE
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LIHEAP assists low-income Quartz Valley Indian Reservation households with their energy assistance needs. Payments are made on behalf of QVIR Tribal members for energy needs such as wood, propane, and electricity. This program has limited subsidy and is only obtainable until funds are depleted.
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ENROLLMENT
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FINANCIAL ASSISTANCE
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*Please note that QVIR does not accept copies of the NGD Minor Request form. This includes faxed copies. All submitted NGD Minor Requests must be originals.
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MISCELLANEOUS
*Please note that it is the responsibility of each member to notify QVIR when the member changes his/her address.
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