Get Per Capita Form 5 - Salazar Per Capita Distribution Instructions - Sioux

Filling out the Per Capita Form 5 is an essential step for eligible members of the Cheyenne River Sioux Tribe to receive their one-time distribution from the Salazar settlement proceeds. This guide provides clear instructions to help you navigate the process effectively and ensure that all necessary information is accurately submitted.

Follow the steps to complete the form online.

1. Click the ‘Get Form’ button to obtain the form and open it in the designated editor.
2. Review the eligibility criteria to confirm that you are enrolled as a member of the Tribe as of April 15, 2013, and residing on May 15, 2013.
3. Complete the CRST Per Capita Form 1 ‘Salazar Per Capita Distribution Request Form’ with your personal details. Ensure that all required fields are filled accurately.
4. If you are an adult member, attach a valid government-issued photo ID as required. This can be a Tribal, state, or federal ID.
5. For parents or guardians of minors, include necessary documentation such as custody orders or proof of the dependent exemption from your federal tax return, along with signatures if applicable.
6. If filling out on behalf of a mentally incompetent adult, ensure to attach the appropriate court orders and the ID of the incapacitated adult.
7. For requests via US Mail, notarize the completed Form 1 and retain additional copies for your records before submitting.
8. Submit your completed form and attachments to the Cheyenne River Sioux Tribe, following the specified address.
9. Once submitted, you can save your progress, download the form for your records, print it for mailing, or share it as needed.

Take the next step and complete your Per Capita Form 5 online to secure your distribution.