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Application for Financial Assistance and Social Services

File Attachment

bia_form_5-6601_fass_application_expires_11.30.2027_508.pdf

Type of Form

IA Paperwork Reduction Act (PRA) Forms

IA Internal Use Only

OMB Control Number

1076-0017

Any individual or family may apply for BIA Financial Assistance and Social Services by completing the application process with the assistance of the Social Worker. A Word version of the Application for Financial Assistance and Social Services (FASS) and Individual Self-Sufficiency (ISP)/Case Plan is available on the Division of Human Services website: https://www.bia.gov/bia/ois/dhs/financial-assistance.

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