The Over-the-Counter Prevention Program (OTC) was created to assist all enrolled Cow Creek Tribal members with the expense of health-related items that can be purchased over the counter. The program does not cover prescription medications.

Each enrolled tribal member aged 18 years and older is eligible for an annual allowance of $100 (Limited to one per year). Enrolled tribal members under the age of 18 are eligible for an annual allowance of $50 (Limited to one per year).

Tribal members need to fill out a new form each year to obtain these funds. In order to claim your annual allowance, your 2021 OTC Check Claim Form must be submitted no later than December 15^th. Any forms received after December 15^th will not be processed and the funds for the current year will be forfeited.

At this time, funds are dispersed only by check. This may change to deposits on the Rapid PayCard in the future, but for now, you should continue to submit an OTC Check Claim Form each year to obtain the OTC funds.

OTC Program Application Form

Click here to download the OTC Application Form.

If you don’t have a way to print out the form, send an email to info-OTC@cc.anvilnorthwesthosting3.com requesting a form be mailed to you. Please include your current mailing address, phone number, and email address in your email. We also have them available to pick up at the reception desks at the Tribal Government Offices or either of the Cow Creek Health and Wellness Centers.

In order to process your request, the address on the OTC Check Claim Form must match the address on the Tribal Roll. If it does not match, you will be asked to fill out, sign, and submit a Change of Address form. Be sure to include an Apt. #, if applicable. You may find the form here: https://cc.anvilnorthwesthosting3.com/tribal/tribal-services/tribal-member-address-change/. If you would like to request a Change of Address form be mailed to you, please call or email Laurie Jones at the information below, and Laurie will mail one to you.

For questions regarding this program, please contact the OTC Administrator at:

Cow Creek Health & Wellness Center
Attn: OTC Administrator
PO Box 1400
Roseburg, OR 97470

Phone: 541-677-5584
Fax: 541-492-5217
Email: info-OTC@cowcreek.com