Some forms are required to be mailed rather than submitted online. If an online form is not available, please review the instructions on the downloadable PDF. The instructions will indicate if you can submit your PDF via email or if you need to mail it in along with pertinent supporting documents. For further information about a program or service, please visit the department’s web pages or use the contact information provided.
Please visit Tribal Enrollment for additional information.
Change of Address (Downloadable PDF)
Voter Registration Form (Downloadable PDF. Must be physically mailed.)
Tribal ID Request (Downloadable PDF and instructions)
Application for Enrollment (Must be physically mailed.)
Absolute Relinquishment – Adult
Absolute Relinquishment – Minor
Conditional Relinquishment – Adult
Conditional Relinquishment – Minor
Ponca Health Services
Please visit our health services page to learn more about our offerings and clinics.
Patient Registration Intake Form and Authorization
Patient Health Summary – Adult
Patient Health Summary – Child
Ponca Tribe of Nebraska Department of Social Services
Please visit the social service page to learn more about programs and services.
Emergency Assistance – Service Area Application (Downloadable PDF)
Emergency Assistance – Out of Service Area Application (Downloadable PDF)
Burial Assistance – Please contact Donna Larson at 402.734.5275 or email@example.com
Funeral Announcements – Please contact Joan Geardino at 402.438.9222 or firstname.lastname@example.org
Ponca Tribe of Nebraska Department of Education
Please visit the education page to learn about additional requirements.
Financial Aid – Higher Education Program (Downloadable PDF)
GED Incentive Program (Downloadable PDF)
Youth Initiatives Program Cover Letter
Youth Initiatives Program Application (Downloadable PDF)
Download a PDF or use the online form:
Ponca Youth Enrichment Fund (online form)