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APPLICATIONS

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Burial/Funeral

Assistance

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Print

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Fill Out/Submit Online

Elder Services

Referral Form 

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Print

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Fill Out/Submit Online

Emergency

Assistance

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Print

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Fill Out/Submit Online

Food

Distribution

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Print

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Fill Out/Submit Online

General

Assistance

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Print

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Fill Out/Submit Online

LIHEAP

Application

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Print

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Fill Out/Submit Online

LIHEAP Wood Vendor

Application

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Print

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Fill Out/Submit Online

TANF Application

For Service

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Print

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Fill Out/Submit Online

Forms

Certificate of Living Arrangement Form

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Print

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General Assistance Monthly Report

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Print

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Fill Out/Submit Online​

No Income

Verification 

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Print

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TANF Monthly Report

Form

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Print

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Fill Out/Submit Online​

Universal Housing Referral Form

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Print

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W-9

Form

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Print

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Phone:  855-55-YUROK Ext: 3060
Hours: M-F 8:30 AM to 5:00 PM
Email: csd@yuroktribe.nsn.us
Address: 1034 6th St Eureka, CA 95501

  • Asset 2
  • Insta
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