ARCHIVED - Community Infrastructure and Housing Annual Report

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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

Comments:

 

Site Number

Year

Water Servicing

Sewage Servicing

Comments:

 

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

Business Contact - Given Name

Business Contact - Family Name

Title

Tribal Council/Firm/First Nation Name

Date (YYYY/MM/DD)

 
Date modified: