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COVID Fund Relief Application

Important Information

  • You may be subjected to being audited by the Oneida Nation and/or the Internal Revenue
    Service. It is advised to keep a copy of your application and any receipts of your
    purchases/payments.
  • Any applications postmarked or received after September 30, 2020, will be denied for
    processing.
  • Please be aware that checks not cashed by November 15, 2020, will be considered null and
    void and will not be reissued after this date.
  • This payment may be subject to taxation and should be reported when filing tax returns.
  • This payment may also impact need-based benefit programs and unemployment benefits.
  • Please consult with your caseworker or the appropriate agency if you have questions or
    concerns. For unemployment related questions, please contact the WI Unemployment
    Office or Oneida Human Resources at (920) 490‐3680.
  • Please be advised that a “test” application was being circulated via Facebook and handed
    out by individuals. Applications received by Economic Support prior to August 1, 2020, will
    not be accepted and are void, as the application was not complete. You will be required
    to resubmit the correct application that is available on August 1, 2020.

Qualifying Criteria

  • Must be an enrolled Oneida Tribal Member.
  • Must be 18 years and older.
  • Proof of guardianship is required for an adult member that is your dependent.
  • Submit a completed application.
  • Provide a short statement on the impact of the COVID-19 pandemic (i.e. job loss, income loss, access
    to food, need for technology access, etc).
  • Please check one of the boxes below to identify how the relief funds will be used.
  • If you are requesting the funds to be direct deposited, complete Direct Deposit information otherwise Paper Checks will be mailed and require proof of address for seamless check delivery.
  • If your information is already up-to-date with enrollments, skip to attestation. If information is not
    provided and is not updated at enrollments, a check will be mailed to the address listed on this
    application.

Documents and Mail-in Application

Letter to Oneida Membership – COVID 19 Relief Fund

Facebook Live FAQs – COVID 19 Relief Fund

COVID-19 Relief Fund Application

Web Application

COVID Relief Fund Form
Please select Month, Year, and then Day.

Distribution options: Direct Deposit or Paper Check

Would you like your funds distributed by Direct Deposit? *

Mailing Address

Address Update:
Is the address you entered above a new address?
Upload Your Proof of Address for Paper Check
Maximum upload size: 516MB
Add proof of address( example: A picture of a piece of mail like a utility bill)

Direct Deposit Information

Would you like to update your bank account information on file?

Are you filling this application out for an adult member that is your dependent?

Are you the guardian?
Proof of guardianship is required for an adult member that is your dependent. Please upload your proof of guardianship.
Maximum upload size: 516MB

I attest/swear that I/my household have been affected by COVID-19 in the following way(s). Please write a short answer about how you have been impacted by the COVID-19 pandemic.


I further attest/swear to the fact that I am accepting Oneida Nation COVID-19 Relief Funding to assist with my needs.

Needs: *

By signing below, I certify that I am the person whose name appears in the 'Name' field of this form, I acknowledge and agree that I am sending my personal information to Oneida Nation Economic Support Services.

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Additional/Contact Info