COVID-19 SUPPLEMENT PAYMENT APPLICATION

Important Announcement: Due to health and safety concerns, all COVID-19 Supplemental Services checks will be mailed.

The purpose of the Blackfeet Tribal Supportive Service Program is to provide economic assistance to enrolled Tribal Members who have experienced financial hardships due to the COVID-19 pandemic. If you or your family have been financially impacted by the COVID-19 pandemic, please fill-out and submit this application to receive a one-time payment of $500.

Each impacted Blackfeet Tribal Member must complete the application for themselves and include household members for whom they have legal custody. After you submit your application, please allow 3 to 4 weeks for processing.

Funding of this program is in accordance with the federal CARES Act Relief Fund and is non-taxable as a Tribal financial assistance program.

IMPORTANT DATES & CONTACT INFORMATION

  • Relief funds are only available until December 16, 2020.
  • Checks must be cashed by December 30, 2020.

If you have any questions, please call one of the following numbers:

(406) 845-8796
(406) 845-8792
(406) 845-8778
(406) 845-2581
(406) 450-4809

We recommend that you complete the online application below. If you’d like to apply using other methods, learn more on our application information page.

APPLICATION FORM

COVID-19 Support Form
Address *
Address
City
State/Province
Zip/Postal
Do you want this to be your address on your enrollment file? *
How will you receive your check? *
Any children subject to court order for custody or guardianship?
If you answered yes above, please attach court orders for custody or guardianship if not on file with the Tribe. If you are not able to upload, you can email your court order to bmpcovid19@gmail.com or fax it to (406) 338-5339.
Maximum upload size: 2.1MB

Financial Need

Between March 1, 2020 and December 31, 2020, I/we have experienced/expect to experience the following (YOU MUST CHECK AT LEAST ONE) economic impacts caused by the COVID-19 Pandemic: *

Certification

Please certify your answers: *