ARCHIVED - Community Infrastructure and Housing Annual Report


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PDF Version - Fill & Print (185 Kb, 1 Page)

Form Instructions

DCI# 41701.GCIMS (2015-2016)


Tribal Council Name

Tribal Council Number

Band Name

Band Number

Site Name

Site Number

 Total Units must equal Total Housing Units as denoted in Previous and Current year; if not, please add justification in comments

AANDC Use Only

Housing Units Without:

Community Services

Housing Plan

Housing Units

Housing Conditions



Site Number


Water Servicing

Sewage Servicing



The information provided is accurate to the best of my knowledge.

Business Contact - Given Name

Business Contact - Family Name


Tribal Council/Firm/First Nation Name


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