Gila River Per Capita Payment Method Change Form
This document provides the instructions and details for changing your per capita payment method with the Gila River Indian Community. It is essential for community members who wish to update their payment preferences. Ensure accuracy when filling out the form to avoid delays in payment processing.
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How do I fill this out?
To fill out this form, begin by providing your personal information at the top of the document. Next, select your current and new payment methods by checking the appropriate boxes. Finally, complete the authorization section by signing and dating the form.

How to fill out the Gila River Per Capita Payment Method Change Form?
1
Fill in your name and contact information.
2
Indicate your current and new per capita payment methods.
3
Attach any necessary supporting documents.
4
Sign and date the application.
5
Submit the completed form to the Per Capita Office.
Who needs the Gila River Per Capita Payment Method Change Form?
1
Members of the Gila River Indian Community who want to switch their payment method.
2
Individuals currently receiving payments that need to update their banking details.
3
Recipients who prefer to change from direct deposit to a physical payment method.
4
Individuals needing to verify and maintain their payment authorizations with the Per Capita Office.
5
Community members who have had a change in bank account and require an update.
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Make your changes using the editing options available.
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What are the instructions for submitting this form?
To submit this form, send it to the Gila River Per Capita Office at PO Box 338, Sacaton, AZ 85147. You can also contact them at (520) 562-5222 or toll-free at (866) 416-2618. It is recommended to keep a copy of the form for your records before sending it.
What are the important dates for this form in 2024 and 2025?
For 2024, important dates include the quarterly distribution deadlines (specific dates to be determined). Be sure to submit your requests at least 45 days prior to the next distribution to ensure processing. In 2025, review similar deadlines to stay updated.

What is the purpose of this form?
The purpose of this form is to allow members of the Gila River Indian Community to officially request changes to their per capita payment methods. It aims to ensure that individuals can update their payment preferences accurately and efficiently. This document is crucial for maintaining the accuracy of financial transactions and service delivery.

Tell me about this form and its components and fields line-by-line.

- 1. Member Name on Bank Account: The name as it appears on the bank account.
- 2. Gila River ID#: The unique identification number assigned to the community member.
- 3. Contact Phone: The active contact number for any follow-up.
- 4. Social Security #: The social security number for identity verification.
- 5. Bank Name/City/State: The banking institution's name and its location.
- 6. Bank Routing/Transit Number: The 9-digit routing number for the bank.
- 7. Bank Account Number: Your personal bank account number.
- 8. Signature: The signature of the applicant for authorization.
What happens if I fail to submit this form?
If you fail to submit this form, your request to change your per capita payment method will not be processed. Consequently, you may continue receiving payments through your current method, which may not meet your financial needs.
- Payment Delays: Failure to submit on time may cause delays in receiving future payments.
- Incorrect Payment Method: Not updating your payment method could lead to receiving funds incorrectly.
- Verification Issues: Without proper submission, identity verification may be jeopardized.
How do I know when to use this form?

- 1. Changing to Direct Deposit: Use this form if you want to switch to receiving payments via direct deposit.
- 2. Updating Bank Information: This is necessary if you've changed your bank account.
- 3. Preference for Physical Checks: If you prefer physical checks over digital deposits, complete this form.
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