Per Cap Forms

Per Cap Forms

Direct Deposit Forms Online

Forms are automatically submitted to finance. Please have void check or letter from bank with routing/account number on hand. If using a tablet or mobile device, it will need to have a camera to take a picture of your void check or letter from bank. If using a computer, please have your document scanned and ready to upload.

Seniors Ages 55+

Adults Ages 18-54

Teens Ages 13-17 – Requires notary, please print PDF form and sign in front of a notary.

Children Ages 0-12 with one parent/guardian on file

Children Ages 0-12 with two parent/guardians on file

Cancellation Form – All Ages

Other Forms

Per Cap Taxes Withheld Form

Address Change Form

 

Direct Deposit & Other Forms – PDFs to be printed

PDF copies below can be printed and filled out. Please return documents to Finance.

Seniors Ages 55+

Adults Ages 18-54

Teens Ages 13-17  - Requires notary signature

Children Ages 0-12

Cancellation Form – All Ages

Per Cap Taxes Withheld Form

Address Change Form

 

Please Fax, mail or drop off completed forms

Fax # 253-876-2896

Mail to:

Muckleshoot Indian Tribe

                Attn: Heather Evans

                39015-C 172nd Ave SE

                Auburn, WA 98092

 

Finance Building has a drop box outside. The address is:

39015-C 172nd Ave SE

                Auburn, WA 98092