Forms

1. Click on desired download.

2. Print the downloaded document.

3. Fill out the document

4. Fax it to us at 1-250-761-4156

(For Ehattesaht/Chinehkint Membership only)

You can also email completed forms to the receiver and email addresses are in the Contact information

page. If you have any questions regarding these forms please contact the Ehattesaht/Chinehkint

Administration Office during regular hours.

housing application

Application for School Supplies

membership support application and the policy

2013 Patient Travel Request

Patient Travel Online Form

Patient's name

Email or phone number

Is this WCB related?

City of residence

Time of appointment

Date of Appointment

Escort name

Driver name

Owner of vehicle

Dr name

Notice of Travel Form

Patient Travel Confirmation form

Youth Centre Rental Agreement Form

Forms for Birth Registration and Birth Release Forms for Newborns:

To register your newborn baby you will require a Original Live Birth Certificate and completed forms. You can access the forms from the NTC Office or have them mailed/faxed/emailed to you. Please call Membership at the Ehattesaht Office.