FORMS
COVID-19 ASSISTANCE

ERAP Additional Funds Announcement | |
File Size: | 211 kb |
File Type: |

Emergency Rental Assistance Application | |
File Size: | 247 kb |
File Type: |

Zero Income Certification | |
File Size: | 194 kb |
File Type: |

QVIR Certification of Understanding Form | |
File Size: | 159 kb |
File Type: |

QVIR CARES Assistance Application | |
File Size: | 201 kb |
File Type: |

2022 Youth General Assistance Application | |
File Size: | 236 kb |
File Type: |

W-9 Form | |
File Size: | 132 kb |
File Type: |

MLIHA COVID-19 Assistance | |
File Size: | 128 kb |
File Type: |

MLIHA COVID-19 Homeless Assistance | |
File Size: | 586 kb |
File Type: |
EMPLOYMENT APPLICATIONS

QVIR Application | |
File Size: | 192 kb |
File Type: |
MEMBER & EMPLOYEE FORMS
EDUCATIONAL & SOCIAL SERVICES ASSISTANCE
![]()
![]()
![]()
|
![]()
![]()
|
![]()
![]()
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.
|
ENROLLMENT
![]()
![]()
![]()
|
![]()
![]()
|
FINANCIAL ASSISTANCE
![]()
![]()
![]()
![]()
![]()
|
![]()
![]()
![]()
![]()
![]()
*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.
|
MISCELLANEOUS
*Please note that it is the responsibility of each member to notify QVIR when the member changes his/her address.
![]()
![]()
![]()
![]()
|
![]()
![]()
![]()
![]()
|