The Form BIA 4432 plays a crucial role for individuals seeking to establish their eligibility for Indian preference in employment within the Bureau of Indian Affairs (BIA) or the Indian Health Service (IHS). Primarily, this form is used to verify an applicant's claim to being a member, descendant, or individual with a certain degree of Indian blood from federally-recognized tribes, bands, or communities, including Alaska Natives. Depending on the category under which an applicant applies—ranging from direct tribe members to those with at least one-half degree Indian blood or descendants living on reservations as of June 1934—different pieces of evidence and verification processes are required. Tribal officials or BIA representatives often must certify the accuracy of the information provided, underscoring the form’s seriousness. Moreover, providing false information can lead to punishment under federal law, highlighting the importance of accuracy and honesty in completing this document. Additionally, the BIA 4432 form comes with instructions for both the applicants and the verifying officials, aiming to streamline the verification process. As the form is governed by several laws and regulations meant to ensure the right individuals receive preference in employment, its completion is not just a formality but a necessary step in honoring and acknowledging the unique standing of Native Americans in federal employment opportunities.
Question | Answer |
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Form Name | BIA-4432 Form |
Form Length | 3 pages |
Fillable? | Yes |
Fillable fields | 36 |
Avg. time to fill out | 7 min 57 sec |
Other names | NW, lineal, onehalf, BIA |
FORM BIA – 4432 |
OMB Control # |
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Expiration Date: 11/30/2014 |
VERIFICATION OF INDIAN PREFERENCE FOR EMPLOYMENT
IN THE BUREAU OF INDIAN AFFAIRS AND THE INDIAN HEALTH SERVICE
Complete one of the categories as stated in the Instructions and submit this form with your application for Federal employment.
CATEGORY A - MEMBERS OF
This is to certify that the person named below is a member of the tribe shown:
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Full Name |
Enrollment No. |
Date of Birth |
Tribal Affiliation |
I certify that the above information was taken from the official membership records of the ________________ Tribe (or records
maintained for the Tribe by the BIA) and acknowledge that falsification and misrepresentation of this information is punishable under Federal Law, 18 U.S.C. 1001.
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And if required, verification by the BIA Official maintaining the |
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Certification by Tribal Official: |
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official tribal rolls that the individual is listed on enrollment |
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list maintained by the BIA at the request of |
the tribe. |
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_______________________________________ ________ |
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Signature |
Date |
Signature of BIA Official |
Date |
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__________________________________ |
_____ ________ |
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Print Name & Title of Tribal Official |
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Name/Title |
Agency |
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CATEGORY B - DESCENDANTS OF MEMBERS OF
I certify that the person named below has established to my satisfaction that he/she is a descendant of an enrolled member of the tribe named below and that he/she was living on an Indian reservation on June 1, 1934. The applicant’s family history is outlined on
the attached family history chart.
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Full Name |
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Date of Birth |
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Reservation of Residence on June 1, 1934 |
Full Name of Ancestor & Tribal Affiliation |
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Title and source of records upon which this is based: |
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BIA Official |
Date |
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__________________________ |
________________ |
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Title |
Agency |
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CATEGORY C - PERSONS WHO POSSESS AT LEAST
I certify that I have reviewed the documentation to support the below listed individual’s claim to possess at least
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Full Name |
Date of Birth |
Degree of Blood and Tribal Derivation |
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Title & Source of Records upon which this is based: |
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BIA Official |
Date |
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Official Records of Tribal Affiliation & Blood Degree |
_______________________________ ________________ |
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State or Academic Recognition of Indigenous Status |
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Title |
Agency |
FORM BIA – 4432 |
OMB Control # |
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Expiration Date: 11/30/2014 |
CATEGORY D - ALASKA NATIVE
I certify that the person named below is a member of an Alaska Native Tribe; or, an individual whose name appears on the roll of Alaska Natives prior to July 31, 1981, and not subsequently disenrolled; or, an individual who was issued stock in a Native corporation pursuant to 43 U.S.C. 1606(g)(1)(B)(i).
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Name |
Date of Birth |
Alaska Native Village/Corporation/Roll |
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Title and source of records upon which this is based: |
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____________________________ |
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BIA Official |
Date |
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____________________________ |
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Title |
Agency |
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INSTRUCTIONS FOR COMPLETING FORM
1.It is the responsibility of the individual to establish evidence of entitlement to Indian preference. Applicants must submit as much background information as possible to verify eligibility for Indian preference. Falsification or misrepresentation of information is punishable under Federal Law, 18 U.S.C. 1001.
CATEGORY A
MEMBERS OF
If your tribe has contracted or compacted the maintenance of tribal enrollment records under the Indian
If your tribe does not maintain tribal enrollment records, the tribe must certify that you are a member and you must submit the form to the BIA official who maintains the official roll for the tribe.
CATEGORY B AND C
·DESCENDANTS OF MEMBERS OF FEDERALLY RECOGNIZED INDIAN TRIBES, BANDS OR COMMUNITIES WHO WERE RESIDING ON ANY INDIAN RESERVATION ON JUNE 1, 1934
·PERSONS WHO POSSESS AT LEAST
If you are claiming preference based on any of these categories, you should provide as much information as possible regarding your family history. This will be the only information which the BIA will have to certify your lineal descent.
If you are claiming preference based upon lineal descent from a member of a federally recognized tribe, band or community, you must also document that you were residing within the present boundaries of the reservation on June 1, 1934.
If you possess
FORM BIA – 4432 |
OMB Control # |
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Expiration Date: 11/30/2014 |
Category D
ALASKA NATIVE OR DESCENDANT OF AN ALASKA NATIVE. You may contact the Bureau of Indian Affairs office servicing your village or corporation for completion of this category.
2.INSTRUCTIONS TO BIA OFFICIALS:
This form has been designed for the verification that an applicant is entitled to Indian preference in employment. If category A membership is verified through records maintained for the Tribe by the BIA, a tribal representative must also sign the verification. If the applicant does not meet the tribal enrollment criteria, the form should not be completed. If the applicant cannot document at least
3.INSTRUCTIONS TO PERSONNEL OFFICERS:
Receipt of a properly verified FORM BIA 4432, together with an acceptable application, “Personal Qualifications Statement”, entitles an applicant to preference in employment.
4.PAPERWORK REDUCTION ACT NOTICE:
The information collection is approved by the Office of Management and Budget under the Paperwork Reduction Act of 1995, 44 U.S.C. 3507(d), and assigned clearance number
displays a currently valid OMB control number. If you have any questions regarding the burden estimation, please contact: Information Collection Clearance Officer – Indian Affairs, 1849 C Street, NW,
5.PRIVACY ACT STATEMENT:
This information is collected as provided pursuant to the Privacy Act, 5 U.S.C. 552a, for individuals completing application forms for Federal employment with the Bureau of Indian Affairs (DOI) or the Indian Health Service (DHHS). We are authorized to collect information to verify Indian ancestry or Indian tribal membership by 25 U.S.C. 2, 4 Stat. 564 and 15 Stat. 228; 25 U.S.C. 9, 4 Stat. 738; 25 U.S.C. 43; 36 Stat. 272; 25 U.S.C. 44, 28 Stat. 313; 25 U.S.C. 46, 22 Stat. 88 and 23 Stat. 697; 25 U.S.C. § 348, 24 Stat. 398 and 31 Stat. 1085; 25 U.S.C. 472, 48 Stat. 986; 25 U.S.C. § 472a, 93 Stat. 1057 and 94 Stat. 695; 25 U.S.C. 479, 48 Stat. 988; and 5 U.S.C. 8336. The information collected will be used to determine eligibility for Indian preference and may be disclosed to the Department of the Interior Office of Personnel, the United States Office of Personnel Management, and the Indian Health Services Office of Personnel. The system of records notice is
6.EFFECTS OF
Disclosure of the information requested on this form (Form BIA 4432) is voluntary. However, consideration for Indian preference in employment under 25 CFR Part 5 requires proof that (a) you are a member of any recognized Indian tribe currently under Federal jurisdiction; (b) you are a descendant of a member residing within the present boundaries of any Indian reservation on June 1, 1934; (c) you are an Eskimo or another aboriginal person of Alaska as defined by the Alaska Native Claims Settlement Act (43 U.S.C. 1601 et seq.); or (d) you possess one- half or more Indian blood of tribes that are indigenous to the United States. Indian Reorganization Act of June 18, 1934, 25 U.S.C. 472.