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Organized Village of Kasaan

Enrollment Services

To apply for enrollment

submit a completed application online or download, fill and email to

nannette@kasaan.org

Download Enrollment Application

Application processing will not be complete until birth certificate is verified enrollment

For disenrollment

submit a completed form download, fill and mail to

Organized Village of Kasaan
P.O. Box 26-KXA
Ketchikan, Alaska 99950-0340

Download Disenrollment Application

Organized Village of Kasaan
Online Enrollment Application

Children

Applicant's Family Tree

Mother

Mother's Mother

Mother's Father

Father

Father's Mother

Father's Father

If Enrolled to an Alaska Native Corporation

If Enrolled in Central Council Tlingit & Haida Indian Tribes of Alaska (CCTHITA)

Are you currently enrolled in a Federally Recognized Tribe other than CCTHITA?
(If yes, you must present proof of relinquishment)

I hereby certify that the above statements given for the purpose of enrollment with the Organized Village of Kasaan IRA are true and correct to the best of my knowledge.

Applicant Signature

Parent/Guardian Signature

BIRTH CERTIFICATE REQUIRED

NOTICE OF FALSE OR MISLEADING INFORMATION: If any statements are proven to be misleading or false, penalties may include; delay, disenrollment, criminal or civil charges filed against provider.
PRIVACY ACT NOTIFICATION: All enrollments will remain confidential.

Thanks for submitting!