Smoke signals. (Grand Ronde, Or.) 19??-current, August 01, 2020, Page 3, Image 3

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AUGUST 1, 2020
Watch your mailbox!
In just a few days, the local Grand Ronde Community
will be receiving an important survey from
the ye?lan tilixam haws, located in the Grand Ronde
Health & Wellness Center, Behavioral Health Department.
We want your voice to be heard!
August
• Wednesday, Aug. 5 – Tribal Council meeting, 10 a.m., Governance
Center, 9615 Grand Ronde Road. 503-879-2304.
• Wednesday, Aug. 19 – Tribal Council meeting, 10 a.m., Governance
Center, 9615 Grand Ronde Road. 503-879-2304.
September
• Wednesday, Sept. 2 – Tribal Council meeting, 10 a.m., Governance
Center, 9615 Grand Ronde Road. 503-879-2304.
•  Monday, Sept. 7 – Tribal offices closed in observance of Labor Day.
•  Saturday, Sept. 12 – Tribal Election Day.
• Sunday, Sept. 13 – General Council meeting, 11 a.m., Tribal Com-
munity Center (tentative), 9615 Grand Ronde Road. 503-879-2304.
• Wednesday, Sept. 16 – Tribal Council meeting, 10 a.m., Gover-
nance Center, 9615 Grand Ronde Road. 503-879-2304.
• Wednesday, Sept. 30 – Tribal Council meeting, 10 a.m., Gover-
nance Center, 9615 Grand Ronde Road. 503-879-2304.
(Editor’s note: All events are tentative depending on the
status of the Tribe’s COVID-19 coronavirus
pandemic response throughout 2020.)
On Friday, Aug. 14 we will hold the drawing.
Don’t wait – win an Early Bird Prize and still
be eligible to win a $100 gift card. Good
luck!!!
The first 50 participants to return the survey will win
a special Early Bird prize of a $25 gas card!
1 st place $100 gift card
2 nd place $ 75 gift card
3 rd place $ 50 gift card
4 th place $ 25 gas card
(10 4 th place prizes)
Hayu Masi
Confederated Tribes of the Grand Ronde
Community of Oregon
9615 Grand Ronde Road
Grand Ronde, OR 97347
Telephone: (503)879-5211 Fax: (503) 879-2208
COVID-19 Relief Payment Program
Application
On April 23, 2020, Tribal Council approved the COVID-19 Relief Payment Program (“Program”)
to ensure all eligible Tribal members 18 years of age and older will receive stipends for the
unexpected costs or loss of income because the COVID-19 pandemic and public health emergency.
The Program provides financial assistance to eligible tribal members to help alleviate the hardships
endured.
Following the Tribe’s adoption and implementation of the COVID-19 Relief Payment Program,
the U.S. Department of Treasury issued new guidance related to the Program. The new guidance
requires that each Tribal member must complete an application for the Program.
Afterhours health line
Tribal members can contact the Afterhours Health Line for ques-
tions about health care concerns you may have when the clinic is not
open. You can reach the Afterhours Health Line by calling 503-879-
2002 and follow the prompts.
The Afterhours Health Line will coordinate care and communicate
with Grand Ronde Health & Wellness Center providers. 
Please print and fill out the “COVID-19 Relief Payment Program Application” found on the
Tribes’ website at http://www.grandronde.org/, and follow one of the submission options identified
below.
1. Complete the Application
a) Completely fill out the application.
b) One application per eligible member 18 years of age and older as of next payment
date of August 14, 2020.
2. Application submission
a) Please submit completed application by August 7th, 2020. Failure to turn in the
form could delay payment
b)
c) NO CONTACT SUBMISSION due to COVID-19 pandemic, so any one of the
following options are available for submission.
a. Scan and email to ctgrdistcovid19@grandronde.org with subject title
Relief Payment Application or,
b. Fax to 503-879-2208 or,
c. Mail to – Confederated Tribes of Grand Ronde, 9615 Grand Ronde Rd.,
Grand Ronde OR 97347 Attn: Finance Department
3. Award
a) All financial support will be sent to the recipient per their Per Capita payment
election either direct deposit or mailing address
*If you have any questions please contact Liz Leno by email at liz.leno@grandronde.org.
Confederated Tribes of Grand Ronde
2020 COVID-19 Relief Payment Program
Application
Name (Print): _________________________________________________________________________
Mailing Address (Street, City, State, Zip): _________________________________________________
Phone Number(s): _____________________________________________________________________
CTGR Enrollment Number and/or Birthdate: _____________________________
Total Living in Household:
Number of Children (17 years old and younger) Living in Household: _________________
Number of Elders Living in Household, 55 years of age and older: _________________
Check the following that apply to you:
Head of Household Employment Status:
employed
reduced hours
unemployed
furloughed
Spouse/partner Employment Status if any:
employed
reduced hours ___unemployed
furloughed
Homeownership:
own
rent
Children home from school:
Utilities:
electric _
water
yes
no
gas
garbage
cable
CERTIFICATION
I hereby certify that I have been impacted by the COVID-19 pandemic and am eligible under the
Relief Payment Program for financial need. I also certify that the information submitted on this
application is true and correct to the best of my knowledge.
Ad by Samuel Briggs III
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DATE
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