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Community Notice: Pala Vaccine Incentive Program

Pala Band of Mission Indians California Pala Notice

PALA, CA – The Pala Band of Mission Indians announces the Pala Vacinne Incentive Program.

Pala Band of Mission Indians
Pala Vaccine Incentive Program
July 1, 2022, through December 31, 2022

Application Guidelines

Project Period: July 1, 2022, through December 31, 2022. The application must be received no later than December 31, 2022. Complete applications will be considered on a first-come, first-served basis until funding is expended.

  • Open to children and adults
  • Eligible applicants may receive a $250.00 incentive payment for each COVID-19 vaccination received. This includes the first dose, second dose, and/or booster.
  • Each applicant is limited to two incentive payments during the project period.
  • The maximum amount that an applicant may receive during the project period is $500.00. No applicant may receive more than two incentive payments during the project period.
  • Applicant may not receive an incentive payment for COVID-19 vaccinations and/or boosters received prior to or after the project period.
  • Incomplete applications will not be considered.

Verification for Incentive Payments

Proof of Eligibility

Applicants must provide verification that they are ONE of the following: Native American, a household member living with a Native American, and/or a Tribal and/or Native organization employee.

  • Native American
    • Tribal enrollment/identification card
    • Letter on tribal stationery signed by the Tribal Chairperson or enrollment clerk
    • Birth Certificate identifying the applicant as American Indian, Alaska Native, or Native Hawaiian
    • California Indian Census Roll Number
  • A household member living with a Native American
    • Any of the eligible verification of Native American heritage for at least one household member
  • Tribal and/or Native organization employee
    • Employee Identification/Badge
    • Letter from organization stationery signed by a staff member in Human Resources, Executive Director, Tribal Administrator, or Tribal Chairperson

Valid Photo Identification

Applicant must submit a photo identification that matches the name on the proof of COVID-19 vaccination. Valid identifications may include but are not limited to:

  • Tribal Enrollment Identification
  • Driver’s License
  • State Identification o School Identification
  • Employee Identification/Badge

Proof of COVID-19 Vaccination

Applicant must provide documentation that verifies the COVID-19 vaccination was received during the project period. Verification of vaccination within the project period may include but are not limited to:

  • COVID-19 Vaccination Record Card
  • Documentation of vaccination from health care provider that provided the COVID-19 vaccine
  • California Immunization Registry Vaccination Record
  • World Health Organization Vaccine Record Card

Application

Download the fillable Vaccine Incentive Program Payment Application (592kb, PDF) and submit the completed application to Sierra Kriss: 760-292-6258 | skiss@palatribe.com

Pala Band of Mission Indians – Sierra Kriss
For more information and to apply, contact Sierra Kriss:
760-292-6258 | skriss@palatribe.com | www.palatribe.com

Pala Band of Mission Indians PBMI Vaccine Incentive Program

 

Review Application

Application - Vaccine Incentive Payment for Pala Band of Mission Indians 2022