Online Intake Packet
Click the file to download
You can look at the Intake Description document Here. This simply outlines each page of the intake packet. If you have questions about what you are reading, check this document out first.
Note: Include all required documents, including Tribal ID when submitting the Enrollment form. Visit the Eligibility Page for clarification.
Update: As of March 23 2020, The Rhode Island Indian Council and it's satellite offices implemented new procedures to comply with social-distancing orders. Individuals can now enroll online using the instructions below. You may print and send these documents to the office via postage mail/scan to email/or fax.
To use as a fillable text document, you can download the free program ADOBE ACROBAT READER by clicking here
Please click the file above for the intake packet.
1) You must download the forms, complete all and send back to us. ( you can also email as an attachment.)
2) If you experience trouble opening the folder, please email your case worker and we can directly send you the necessary forms. Click to be directed to your state's office.
Rhode Island. Connecticut. New Jersey. Long Island, NY
We have worked on making this process easy to complete while respecting health orders. All locations are kept sanitized and in-office visits during Wednesdays & Thursdays are still available if needed. We appreciate your patience at this time while we make efforts to service our community.
Need some Help?
Watch our short tutorial video to learn how to utilize the online form. You must have Acrobat Reader to complete this method. Still unsure? Simply print out the forms to complete by hand and send via postage mail or fax.