Per Capita Ho Chunk Form – Fill Out and Use This PDF

Per Capita Ho Chunk Form is an agreement individual members of the Ho-Chunk Nation may enter into to preserve their financial, cultural and personal rights. This is a voluntary commitment a member makes to come back to the table to discuss tuition fees and claim balance owed them by the nation under state or federal law, avoid litigation, eliminate misunderstandings and save money down the road. Far more than just that simple outline of what it is, It is also providing a foundation to ensure tribal members can recognize they have rights they must claim belonging solely to those asking until recognized. Everyone partaking in this agreement is setting out protective measures aimed at preventing inequities created out of past practices that ignored their traditional beliefs handled outside foundations, councils of governments and others authorized by both sides in charge.

Per Capita Ho Chunk Form PDF Details

Ho Chunk form is an important metric for measuring the average resources a resident in a particular area has access to. As such, it offers insights into how much or how little a particular community can draw on its collective resources and capacities when faced with challenging circumstances. This blog post will provide an overview of Ho Chunk form and discuss why understanding per capita Ho Chunk form matters, both on individual as well as broader political scales. Finally, we will look at ways in which this data can be used to inform decision-making processes.

Question	Answer
Form Name	Per Capita Ho Chunk Form
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	direct deposit form ho print, ho chunk treeasury direct deposit form, ho chunk nation treasury forms, ho chunk nation website

Form Preview Example

HO-CHUNK NATION

DEPARTMENT OF TREASURY

PER CAPITA DIRECT DEPOSIT

AUTHORIZATION FORM

Instructions:

1.Mark the box to indicate whether you want your check to be deposited into a savings or checking account.

2.Fill in the Tribal Member’s information and the Financial Institution boxes below.

3.Attach a voided check to ensure accurate account and routing number information. If you are unable to attach a voided check, contact or take this form to your financial institution for assistance with your account & routing numbers.

4.You must sign and date the form in order to have it processed.

5.You must notify Treasury in writing of any changes to your bank account information

MEMBER AUTHORIZATION—Please fill out completely and mail or fax to:

Ho-Chunk Nation, Department of Treasury
P.O. Box 640	OR	Fax (715) 284-9972
Black River Falls, WI 54615

I authorize the Department of Treasury and the Financial Institution listed below to initiate electronic credit entries, and if necessary, debit entries and adjustments for any credit entries in error to my:

Checking Account

Savings Account

TRIBAL MEMBER’S INFORMATION

NAME (PLEASE PRINT)

TRIBAL ID NUMBER

SOCIAL SECURITY NUMBER

YOUR ADDRESS

CITY, STATE, ZIP

PHONE NUMBER

FINANCIAL INSTITUTION INFORMATION

NAME

ADDRESS

CITY, STATE, ZIP

PHONE NUMBER

ACCOUNT NUMBER

ROUTING NUMBER -- must be nine digits!!

This authorization will remain in effect until cancelled in writing.

TRIBAL MEMBER’S SIGNATURE

DATE

P. O. Box 640 ~ Black River Falls, WI 54615

(715) 284.1660 ~ (800) 779.2873 ~ (715) 284.9972 FAX

Per Capita Direct Deposit Authorization Form

Page 2

The following is a brief explanation of the Per Capita Direct Deposit Authorization Form and process. If you have a specific question, not mentioned here, please be sure to contact the Department of Treasury.

•Changes (Additions/Deletions) will be done by the middle of the month prior to Per Capita Distribution.

•Any Per Capita Direct Deposit forms received after the deadline will be processed for the next per capita disbursement.

•All changes/cancellations must be in writing. This would include, but not be limited to the following:

OChange Name

OChange from Checking Account to Savings Account

OCancellation of Direct Deposit

•You can fax or mail an updated form for changes or a written cancellation request to the Department of Treasury.

•Per Capita Advances will be disbursement in the same manner that the Tribal member receives their quarterly Per Cap distributions (Manual Checks or Direct Deposit).

If the Department of Treasury receives an error report that your account has been closed, you will automatically be taken out of the direct deposit database. Or if the error report indicates that it has incorrect routing and/or account numbers, the Department of Treasury will contact you by phone using the phone number listed on your authorization form.

Please be advised: Address Verification and Direct Deposit Authorization are two separate forms. The Enrollment Office requires Address Verification forms to be received by July 15th of each calendar year. Address Verification forms not returned by July 15th will result in Enrollment delaying your future per capita disbursements until they can verify your address. Once your address is verified, the per capita disbursements you missed will be issued to you, during the next check run, by means of a paper check, and your direct deposit will start on the next quarterly disbursement.

•All Changes or Cancellations MUST be in writing.

•The Department of Treasury DOES NOT change addresses. You will have to contact Enrollment to change your address. The Department of Treasury only processes direct deposit information, not change addresses for the next per capita distribution.

P.O. Box 640 ~ Black River Falls, WI 54615

(715)284.1660 ~ (800) 779.2873 ~ (715) 284.9972 FAX

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deposit ho nation blank completion process detailed (part 1)

2. Right after the first array of fields is done, go on to enter the suitable details in all these: The following is a brief, Changes AdditionsDeletions will, Distribution, Any Per Capita Direct Deposit, next per capita disbursement, All changescancellations must be, following, o Change Name, o Change from Checking Account to, o Cancellation of Direct Deposit, You can fax or mail an updated, and Department of Treasury.

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Per Capita Ho Chunk Form – Fill Out and Use This PDF

Per Capita Ho Chunk Form PDF Details

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