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Hart Application Form

HIGH ARCTIC RELOCATEE PARTITION TRUST (“HARPT”)

Step 1 of 3

33%
  • Section A

    Applicant Information
  • Section A

    Applicant (Minor)

  • Name of Minor
  • Mother

    of minor
  • Father

    of Minor
  • Legal Guardian

    of Minor

  • The Applicant (Minor) is a Descendant of original High Arctic Relocatee
  • Signature

  • DD slash MM slash YYYY
Save and Continue Later
  • Section B

    Proof of Identity
    Only 1 is required
Save and Continue Later
  • Section C

    Payment Options
  • Section D

    Declaration
  • Declaration – I solemnly declare that all of the statements made and the information provided in this Application, as well as any supporting documents, are true. I agree to indemnify and hold harmless the Trustees of the HIGH ARCTIC RELOCATEES PARTITION TRUST from any liability that may arise from my direction to the Trustees of the HIGH ARCTIC RELOCATEES PARTITION TRUST for the payment of the per capita distribution of settlement funds. Furthermore, I consent to the collection, use and disclosure of the personal information of the Applicant by the Trustees of the HIGH ARCTIC RELOCATEES PARTITION TRUST solely for the purpose of authenticating the identity, membership registration, and accurate issuance of the per capita distribution payment to the Applicant.
  • Declaration – I solemnly declare that all of the statements made and the information provided in this Application, as well as any supporting documents, are true. I agree to indemnify and hold harmless the Trustees of the HIGH ARCTIC RELOCATEES PARTITION TRUST from any liability that may arise from my direction to the Trustees of the HIGH ARCTIC RELOCATEES PARTITION TRUST (on behalf of the Applicant (Minor)) for the payment of the per capita distribution of settlement funds. Furthermore, I consent to the collection, use and disclosure of the personal information of the Applicant (Minor) by the Trustees of the HIGH ARCTIC RELOCATEES PARTITION TRUST solely for the purpose of authenticating the identity, membership registration, and accurate issuance of the per capita distribution payment to the Applicant (Minor).
  • MM slash DD slash YYYY
Save and Continue Later

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Makivik

Kuujjuaq | Montreal | Quebec City
Head Office: Kuujjuaq
P.O. Box 179
Kuujjuaq, Quebec J0M 1C0
(819) 964.2925
1.877.625.4845

Montreal
1111 Dr. Frederik-Philips Blvd., 3rd Floor
St. Laurent, Quebec H4M 2X6
(514)745.8880
1.800.361.7052

Quebec City
580 Grande-Allée E, suite 350
Québec (Québec) G1R 2K2
(418) 522.2224

 

Other Offices

Inukjuak Office
Inukjuak Shared Fax
819-254-1040

Justice Office

Main Office
Phone: 514-331-5818

Inukjuak
Phone: 819-254-0929
Private Fax: 819-254-0930

Kuujjuaraapik
1-819-929-3925
Fax:1-819-929-3982

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