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Vaccination Incentive Program

SRST COVID-19 Vaccine Application
Jan. 2022 Vaccination Schedule
Update!

February 4th, 2022;

This is the current application and mail data from Vaccine Incentive Program!

(As updates roll out and new applications are accounted for, the information provided are subject to change)

Total of Applications, 6,702 Received
Filed Applications via In-person, Mail, or Fax: 1,452 Total
Emailed Applications: 470 Total
Invoices Submitted to Finance: 2,710 Total
Checks Mailed: 2,028 Total

Vaccine Incentive Program Contact Information

Completed Applications can be mailed, emailed, or faxed with all documents attached to

Address:

Standing Rock Sioux Tribe

Attn: Vaccine Incentive Program

PO Box D

Fort Yates ND,  58538

Email:         SRSTARPA@standingrock.org

Phone:       701-854-8680

Fax:          701-854-3013

  • Applications can be filled out above, saved, and signed, then scanned and sent back
  • Applications can also be hand delivered to the rotunda office on the second floor at the top of the stairs, please follow posted signs
  • Applications are recommended to be delivered mail, emailed, fax, or handed in-person.
  • When Application is completed, estimated wait is three weeks from filing, please be patient on the verification process and the office will contact you for any information provided in your paperwork for any clarification.
  • Do not send in originals of documents requested and make a copy of the documents that are being filed with the application.

Note

(Please be courteous; the office is processing a large amount of applications and will get back to you when possible. Best option to contact is via Email: SRSTARPA@standingrock.org)



Note

(We are experiencing high call volumes, which causes processing delays for checks and info verification. We may not be able to get to your call in the order that it was received.)

Phone:       701-854-8680

(For all general inquiries; Available Monday – Friday 8am to 4:30pm)

Point of Contact
Phone Number
Application by Last Name
Michelle 701-455-1428 A – D
Darlene 701-455-1433 E – H
Kellissa 701-455-1641 I – L
Jada 701-455-1642 M – P
Ivy 701-455-1423 Q – U
701-455-1640 V – Z

ADDRESS

Standing Rock Sioux Tribe

1 Standing Rock Ave,
Fort Yates, ND 58538

PHONE NUMBER

Phone
701-854-8500

EMAIL

Info
info@standingrock.org

Contact Media
media@standingrock.org

https://www.facebook.com/UnitedTribesGamingAssociation

Standing Rock Sioux Tribe

1 Standing Rock Ave
Fort Yates, ND 58538

Phone: 701-854-8500
Email: info@standingrock.org

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