Native Village of Kotzebue - Kotzebue IRA Covid Quarantine Assistance

Effective March 7, 2022, the Native Village of Kotzebue provides support to Kotzebue IRA tribal members who test positive for COVID-19. The assistance that will be provided is listed below.

Tribal members testing positive will receive:

$500 check

A Kotzebue IRA Tribal member who tests positive for COVID-19 must submit their application online and email their positive results within four weeks to qualify for assistance.
Individuals are asked to provide:
⦁ Name
⦁ Positive Test Result from Medical Provider (home tests are not accepted)
⦁ Phone Number
⦁ Physical Address
⦁ Mailing Address
⦁ List of Household Members
⦁ Must be signed by the Head of Household

Forms can be found at www.kotzebueira.org. A copy of positive results must be emailed to arpa@qira.org. If you have any questions, please call 907-442-3467 ext. 218 or ext. 319.

COVID Quarantine Assistance

Assistance is available once per household (per year) as funds are available.

Name(Required)

First Last

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Physical Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email Address(Required)

Household Member(s)

Name

Positive Test Result from Medical Provider(Required)

Yes, Positive Test

No Positive Test

Name & Phone # of Medical Provider(Required)

Applicant Signature – I certify that by typing my name in the field below is the digital equivalent of my physical signature.(Required)

Head of Household Signature – I certify that by typing my name in the field below is the digital equivalent of my physical signature.(Required)

Comments

This field is for validation purposes and should be left unchanged.

COVID Quarantine Assistance

COVID Quarantine Assistance

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