Cherokee Nation Citizenship Packet

Cherokee Nation
Citizenship
Packet
for those who are already Tribal citizens
ENCLOSED (in order):
1. Cherokee Nation Citizenship Application – If you have NEVER had a Citizenship card (a.k.a.
‘Blue Card’), you need to immediately apply for one using this form. The Certificate of Degree of
Indian Blood (CDIB) (a.k.a. ‘White Card’) is NOT citizenship. Without citizenship, you will be
ineligible for almost all Tribal services including Tribal scholarships and IRS requirements for the
Affordable Care Act exemption from health insurance mandates as an ‘Indian person.’
2. Request for Replacement Card or Change of Address Form – Request for replacement
Citizenship card (a.k.a. ‘Blue Card’) or Certificate of Degree of Indian Blood (CDIB) (a.k.a.
‘White Card’). The same form is necessary if you need to notify the Tribe of your change in
address which includes 911 addressing changes. If you have not received mail from the Nation
ever or in some time, please complete this form and update the Nation with your physical and
mailing address. The same form may be used to request a modification to your citizenship
including name changes (for example, marriage or divorce) and blood quantum changes including
corrections. If you need an ‘Indian Preference Letter’ (IPL) for employment or a scholarship, you
would use this form.
3. Cherokee Nation Voter Registration Form – Cherokee Nation voting is separate and
independent from voting in the State of Oklahoma elections or any other elections. ALL
Cherokees regardless of where they live are eligible to register to vote in Tribal elections as long
as they are 18 years of age at the time of the upcoming election and register before the Cherokee
Nation Election Commission’s deadlines for the election where the Cherokee becomes 18 years
of age.
4. Cherokee Phoenix (Tribal Newspaper) Subscription Form – Cherokee Nation’s Tribal
newspaper is printed monthly and will be mailed to the address of your choice for an annual
subscription fee of $10.
5. Cherokee Nation Tribal Council 2013-2015 Map and Contact Information – Understand
who your Tribal Councilmember is and how to reach them!
6. Tulsa & Rogers Counties Fridge Flier – Cara Cowan Watts has compiled and maintains a onepage flier for you to keep on your fridge, so you know where to go and how to contact your local
Cherokee Nation offices and resources. You never have to search a website, again!
7. Death Affidavit – If your loved one has passed away (even years ago) and you never notified the
Nation in writing, please stop and do so immediately using this form. Otherwise, the Nation
does not know and your loved one may still be listed as an active voter and more.
Updated: 09/11/2013
Created and Compiled by Cara Cowan Watts
CHEROKEE NATION
Registration Department
P.O. Box 948
Tahlequah, OK 74465-0948
918-453-5000
APPLICATION FOR CITIZENSHIP IN THE CHEROKEE NATION
(PLEASE PRINT IN BLACK/BLUE INK)
LAST NAME
FIRST
DATE OF BIRTH
MIDDLE
MALE
MO.
DAY
MAIDEN
FEMALE
YEAR
SOCIAL SECURITY NUMBER
PHYSICAL ADDRESS
CITY
STATE
ZIP
MAILING ADDRESS
CITY
STATE
ZIP
Have you registered as a citizen of the Cherokee Nation before?
When?
Registration Number?
YES
NO
MARK THE COUNTY YOU LIVE IN BELOW:
Adair
Muskogee
Wagoner
Cherokee
Nowata
Washington
Craig
Ottawa
All other Oklahoma
Delaware
Rogers
Out of State
Mayes
Sequoyah
Out of Country
McIntosh
Tulsa
Signature of Applicant (IN INK)
Date of Signature
(All minor applicants must have their parent’s/legal guardian’s signature).
DO NOT WRITE BELOW THIS LINE
CHEROKEE REGISTRY NUMBER
APPROVED
DISAPPROVED
REASON:
REG FORM-C1 (3/06): UPDATED (12/10)
Registrar
Date
CHEROKEE NATION
TRIBAL REGISTRATION
P.O. BOX 948
TAHLEQUAH, OK 74465
Phone: (918) 458-6980
Fax: (918) 458-7617
Email: registration@cherokee.org
Web: www.cherokee.org
DATE:
REPLACEMENT CARD REQUEST
ADULTS: MUST SIGN OWN FORM IN “INK” AND PROVIDE A COPY OF IDENTIFICATION
MINORS: PARENT/AUTHORIZED AGENT/CUSTODIAL PARENT MAY REQUEST. ID REQUIRED
DUP CDIB:
DUP MEM:
ADD CHG:
LAST NAME
DATE OF BIRTH
IPL:
FIRST
OTHER:
AMEND CDIB:
(NAME/DOB/BQ)
MIDDLE
REGISTRY NUMBER
MAIDEN
TELEPHONE NUMBER
SOCIAL SECURITY
PHYSICAL ADDRESS:
ADDRESS
CITY
STATE
ZIP
ADDRESS
CITY
STATE
ZIP
MAILING ADDRESS:
NAME CHANGE:
WAS
NOW
Is the applicant legally represented, such as court appointed guardian, or under court ordered custody, such as divorce custody?
YES:
NO:
SIGNATURE OF PERSON REQUESTING
If so, submit legal documentation with this form.
( )
( )
( )
PERSON HIMSELF/HERSELF
PERSON MAKING REQUEST:
AUTHORIZED AGENT
EXPLAIN HOW TO AMEND YOUR CDIB HERE:
INTAKE CLERK:
REG FORM C10{2/96 rev. 12/23/10}
(Relationship)
CHEROKEE PHOENIX NEWSPAPER SUBSCRIPTION REQUEST
First Name:
Last Name:
Mailing Address:
City:
State:
Telephone :
Zip Code:
email:
Please provide the following subscriber information (for statistical purposes only):
Cherokee Nation Citizen: Yes
No
Not Sure (gift subscription)
If Yes, please provide Cherokee Nation Registry #:
Veteran of U.S. Armed Forces: Yes
No
Is this subscription a gift for another party?
Senior Citizen (age 65 and over) Yes
Yes
No
Date of Birth:
No
If Yes, please provide contact information for the subscription purchaser:
First Name:
Last Name:
Mailing Address:
City:
State:
Telephone:
Zip Code:
email:
When gift subscription expires, send renewal to:
Giver
Recipient
SUBSCRIPTION DETAILS
YES, I would like to subscribe to the Cherokee Phoenix:
1 Year Subscription (12 issues + Cherokee National Holiday Guide)
$10.00
2 Year Subscription (24 Issues + 2 Cherokee National Holiday Guides)
$18.00
3 Year Subscription (36 Issues + 3 Cherokee National Holiday Guides)
$26.00
PAYMENT DETAILS
I have enclosed a check/money order in the amount of $
Please charge my credit card
VISA
made payable to ‘Cherokee Phoenix’
MASTERCARD
Card Number:
Expiration Date:
Cardholder’s Name (please print):
Security Code:
Cardholder’s Signature:
Date:
*All subscriptions are binding for the term selected. The Cherokee Phoenix will not issue refunds for cancelled subscriptions*
**The Cherokee Phoenix does not accept cash. We apologize for any inconvenience.**
Please return this form along with your payment to:
Cherokee Phoenix Subscriptions
P.O. Box 948
Tahlequah, OK 74464
If paying by credit card you may fax or scan and email this form to:
Fax: 918.207.0049
email: joy-rollice@cherokee.org
For questions or assistance please contact us at:
Phone 918.453.5269 or email joy-rollice@cherokee.org
OFFICE USE ONLY
Received:
New Subscription
Paid by: Check
If Check or M.O.:
Check #
M.O. #:
Recvd by:
Renewal
Credit Card
M.O.
Straight Talk
with Cara Cowan Watts
TRIBAL REQUESTS:
District 5 – Tulsa and Rogers County, Seat Two
P.O. Box 2922
Claremore, OK 74018
Tribal Cell: (918) 752-4342
Fax: (918) 341-3753
Email: cara@caracowan.com
Website: www.caracowan.com
EMAIL LISTS & ACTIVE SOCIAL MEDIA:
 Cherokee Nation News & Events List
 Scholarship, Internship, Summer Camps &
Full Time Jobs List
 Cherokee Women’s List
 Facebook, LinkedIn, Twitter & Pinterest
Attend the Rogers County Cherokee Association (RCCA – rogerscountycherokees.org & Facebook ‘Rogers
County Cherokees’) monthly meetings in Tiawah on the 2nd Sunday of each month at 2pm. Attend the Tulsa Cherokee
Community Organization (Facebook TCCO) monthly meetings in Tulsa on the 1st Tuesday of each month at 6pm.
Attend the Victory Cherokee Organization (VCO - http://www.victorycherokee.org/ & Facebook ‘Victory
Cherokee Organization’) monthly meetings in Collinsville on the 2nd Tuesday of each month at 6:30pm. Cara is an
active member of all three organizations and regularly attends to answer questions and listen to your concerns.
Connect with Cara daily on Facebook, LinkedIn and Twitter! Follow Cara as she attends local community meetings,
travels for the Tribe and works to build partnerships across District 5.
Join Cara’s email listserv for current news, events and happenings within the Cherokee Nation focused on Rogers
and Tulsa Counties by emailing Cara at cara@caracowan.com and asking to be added or add yourself on her updated
website at http://www.caracowan.com.
Join the Oklahoma Professional Chapter (OPC) of the American Indian Science and Engineering Society
(AISES) listserv for daily opportunities for all ages seeking a professional career especially in science, technology,
engineering and mathematics (STEM). Cara sends out regular opportunities for scholarships, internships, summer camps,
jobs, graduate fellowships, community and school grants and more for K-12 students, teachers, parents, grandparents,
school administrators, college students, professionals and others interested in professional careers.
Join the Cherokee Women’s Grassroots Leadership Group (CWGLG) email listserv on Yahoo Groups for news,
events and opportunities focused on strengthening our Cherokee women and their families. CWGLG should begin
meeting quarterly, again, in the coming year.
If you are without the Internet, call Cara’s Tribal extension at (800) 256-0671 ext. 3000 to hear information about the
next monthly community meeting and other events.
For those who take their local newspaper, Cara writes a weekly column she submits to all of the Rogers County
newspapers and now the Tulsa County newspapers.
If you have questions, issues or concerns about the Cherokee Nation government, please email me at
cara@caracowan.com or write me at P.O. Box 2922, Claremore, OK 74018.
To contact the Tribe, call (918) 453-5000. The operator will connect you with the appropriate department. Tribal programs
and services are administered by the Chief’s staff at the Tribal Complex. Tribal hours are Monday through Friday from 8
a.m. to 5 p.m.
Save a trip to Tahlequah by using the Tribes Internet tools at www.cherokee.org. Almost all applications are available
online to print from home.
District 5 - Tulsa & Rogers County Cherokee Community
Cherokee Nation Area Offices Contact Information
For Tahlequah offices and personnel, call the Cherokee Nation. The operator should be able to transfer you to any individual
or service team by name. Office hours are 8am to 5pm Monday through Friday.
For Human Services and programs such as Burial Assistance, General Assistance, Imminent Need Programs and other
social service programs, Brittany Denny is the contact for Tulsa and Rogers County. Ms. Denny can be reached at the Catoosa
office Monday through Wednesdays at 918-266-5626, ext. 7778. This is apt to change should Ms. Rider be called away on tribal
business, so it is not set in stone. Office hours are 9:30am to 3:30pm Monday through Friday.
For Career Services and Job Assistance, please contact the Claremore Career Services office. Office hours are 8am to 5pm
Monday through Friday.
For job applications or to ask questions about the Catoosa Hard Rock Hotel & Casino or Will Rogers Downs, visit
www.cherokeecasino.com, www.cherokeejobs.org and www.cherokee.org.
Cherokee Nation (CN) Complex
(918) 456-0671 • (800) 256-0671
http://www.cherokee.org
General Mailing Address:
Cherokee Nation • Attn: (Department Name)
P. O. Box 948 - Tahlequah, OK 74465
Shipping Address:
Cherokee Nation • Attn: (Department Name)
22361 Bald Hill Road - Tahlequah, Ok 74464
Housing Authority of Cherokee Nation (HACN)
http://housing.cherokee.org/
(918) 342-2433 – Phone • (866) 342-2433
(CN Career Services Office – Claremore
(918) 342-7453 - Phone
23205 S. Highway 66 - Claremore, OK 74019
(one mile South of Wal-Mart on Highway 66)
HACN - Will Rogers Senior Complex
(918) 342-2494 - Phone
202 Stuart Roosa
P.O. Box 1325 - Claremore, OK 74018
Collinsville Housing & Human Services Office
(918) 371-5534 - Phone
1323 West Broadway - Collinsville, OK 74021
Collinsville Car Tag Office
(918) 453-5100
107 E. Main - Collinsville , OK 74021
CN Human Services Office – Pryor
(918) 825-7988
133 Cherokee Heights - Pryor, OK 74361
CN Indian Child Welfare (ICW) - Suite O
CN Human Services & Child Care – Suite M
(918) 266-5626
Corner of Route 66 and Pine - Catoosa, OK
Cherokee Nation Enterprises • Hard Rock
(918) 384-7800
Intersection of 193rd and I-44 - Catoosa, OK
http://www.cherokeecasino.com • http://www.cherokeejobs.org
HACN - Cherokee Village
(918) 266-5658 - Phone
(918) 379-6966 - Fax
310 Chief Stand Watie - Catoosa, OK 74015
Claremore Indian Hospital
Indian Health Service (IHS) Federal Facility
101 S Moore Ave • Claremore, OK 74017
(918) 342-6200 • www.ihs.gov
(This is NOT a Cherokee Nation facility.)
Cara Cowan Watts
CN District 13 Tribal Councilwoman
(918) 752-4342 – Tribal Cell
P.O. Box 2922 • Claremore, OK 74018
cara@caracowan.com • http://www.caracowan.com
Connect with Cara, daily, on Facebook, LinkedIn, Pinterest,
Google+ & Twitter!
Lee Keener
CN District 14 Tribal Councilman
(918) 550-3351 – Tribal Cell
P.O. Box 1752 • Claremore, OK 74018
lee-keener@cherokee.org
Connect with Lee on Facebook, Twitter & LinkedIn!
Rogers County Cherokee Association (RCCA)
President, Bob McCuistian
15488 East 523 Road • P.O. Box 142 • Claremore, OK 74018
CONTACT: Vice-President, Beverly Cowan
(918) 760-1735 • bevecowan@hotmail.com
http://rogerscountycherokees.org/ • Plus, Facebook!
Victory Cherokee Organization (VCO • Collinsville)
President, Keith Holland
1025 N 12th • P.O. Box 298 • Collinsville, OK 74021
victorycherokee@att.net
http://victorycherokee.org & Facebook
Tulsa Cherokee Community Organization (TCCO)
Chairperson, Donna Darling
P.O. Box 582363 • Tulsa, OK 74158-2353
tulsacherokees@gmail.com
Facebook
Schedules and people are subject to change. Please ask questions and follow-up to make sure you get to the correct person.
CHEROKEE NATION
Registration Department
P.O. Box 948
Tahlequah, OK 74465-0948
(918) 453-5000
DEATH AFFIDAVIT
I,
do hereby solemnly swear that I have personal
knowledge regarding the death of
and know for fact
that the above mentioned individual is now deceased. Affiant knows and remembers facts
because:
Please return form to:
Date of Birth
Cherokee Nation
Attn: Tribal Registration
P.O. Box 948
Tahlequah, OK 74465
Date of Death
Registry Number
Signature of Affiant
NOTARY PUBLIC
Subscribed and sworn to before me this
Notary
My Commission Expires
REG FORM –C6(6/91 rev. 08/11)
day of
20