SCIS Card Applications Forms (Current Members)
Secure Certificate of Indian Status *Added October 12, 2020
Registration-SCIS Guarantor Declaration
SCIS Instruction Booklet
SCIS CLERK
Betty Lou Hynes
709-634-8675
bhynes@qalipu.ca
Indian Registration Administration (New Registrations)
Adult Registration-SCIS Application
Instruction Booklet for Adult Registration-SCIS Application
Child (15 and Under) Registration-SCIS Application
Instruction Booklet for Child Registration-SCIS Application
Registration-SCIS Guarantor Declaration
If you have any trouble completing these forms, please contact the Indian Registration Administrator, Nancy O’Connell, at 709-634-4010 or 1-855-263-6440 (toll free in Newfoundland only). You may also email Nancy at noconnell@qalipu.ca
Non-Insured Health Benefits Forms
List of Approved Mental Health Providers (PDF)
Health Canada Client Reimbursement Form (PDF) *Updated July 17, 2020
Qalipu Medical Transportation Reimbursement Form (PDF) *Updated May, 2022
Qalipu Medical Transportation Reimbursement Form Guideline (PDF) *Updated May, 2022
Benefit Exception Request Form (PDF) *Updated September 4, 2018
Client EFT Direct Deposit Form (PDF) *Updated November 29, 2021
Vendor EFT Direct Deposit Form (PDF) *Added November 2, 2018
The Education and Training Department
Post Secondary Student Support *Updated April 3, 2019
Skills Parachute Program and Short-Term Courses Funding Program *Updated April 3, 2019
Wage Subsidy Program and Grant Incentive Program Application *Updated April 3, 2019
Self-Employment Assistance Program *Updated April 3, 2019
YSEP Employer Application *Updated February 6, 2018
RCMP QMFN Summer Student Program Employment Application 2018 *Updated October 5, 2018
H.J. O’Connell Construction Limited Aboriginal Scholarship Program
Indspire
RBC Aboriginal Students Award Program