Get Pembina Settlement Claim Form

This guide provides clear and supportive instructions for filling out the Pembina Settlement Claim Form online. Whether you are a legal representative or an eligible heir, this step-by-step approach will help you navigate the form with ease.

Follow the steps to complete your Pembina Settlement Claim Form online.

1. Press the ‘Get Form’ button to access the Pembina Settlement Claim Form and open it in the designated editor.
2. Begin filling out your personal information in section 1. Enter your last name, first name, and any name changes or variations you may have. Provide your date of birth in the requested format.
3. In section 2, provide your current contact information. Fill in your address, including city, state, postal code, and country. Make sure to include your telephone and email information.
4. If your mailing address for payment distribution differs from your current address, complete section 3 with the appropriate information.
5. In section 4, select your preferred method of payment and provide any additional required information based on your choice. This includes options like MasterCard, check, PayPal, Zelle, or Venmo.
6. Complete section 5 by indicating your tribal affiliation, if applicable. Select one from the list of tribes provided.
7. In section 6, if applicable, fill out information about the original individual beneficiary, including their name, date of birth, and place of birth.
8. Section 7 requires you to select whether the original individual beneficiary received the 1964 or 1980 award.
9. For section 9, indicate your relationship to the original individual beneficiary or your status as a legal representative by checking the appropriate box.
10. In section 10, ensure you attach all necessary supporting documents as outlined. This may include proof of identity, proof of representation, and documentation proving the beneficiary's death.
11. Finally, review all the information entered, make any necessary corrections, and then save your changes. You can download, print, or share your completed form.

Start completing your Pembina Settlement Claim Form online now to ensure your submission is delivered before the deadline.