Quartz Valley Indian Reservation in Fort Jones , CA Preview on Page 1

Quartz Valley Indian Reservation in Fort Jones , CA 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out the applicant's name and email address. Ensure that your contact information is accurate for any follow-up communications.
  3. Indicate whether you or someone in your household has experienced a negative impact due to COVID-19 by selecting 'YES' or 'NO'.
  4. Provide your mailing and physical addresses, along with home and cell phone numbers for complete identification.
  5. List all Tribal members in your household, including their names and enrollment numbers. This information is crucial for processing your application.
  6. Detail the requested services and associated costs. Attach supporting documentation showing current account/payment information or recent receipts as required.
  7. Complete the attestation section by signing and dating the form, affirming that all provided information is accurate.

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Related links

Quartz Valley Indian Reservation: QVIR

Address: 13601 Quartz Valley Road, Fort Jones, CA 96032 Phone: (530) 468-5907 Email: info@qvir.com

Learn more
California Indians: Q-S - American Indian Studies

Nov 2, 2024 The original Quartz Valley Reservation was near the current one, but was terminated in the 1960s. The total area today is about 174 acres, withRead more

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