SHXW’OWHÁMÉL FIRST NATION
Ph.: (604) 869 2627 Fax: (604) 869 9903
Email:
secretary@shxwowhamel.ca
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Income assistance monthly renewal
If you and/or you spouse require continued Social Assistance, complete and submit this form no later than the third friday of the month.
IA Monthly Renewal
Clients Full Name
Spouse's Full Name
Clients Status Number
Spouse's Status Number
Address [must be on reserve]
For the Month of:
January 2021
February 2021
March 2021
April 2021
May 2021
June 2021
July 2021
August 2021
September 2021
October 2021
November 2021
December 2021
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