Administration

For questions about any of these forms or programs, please call 541-672-9405 or email info@cc.anvilnorthwesthosting3.com.

Application for Enrollment (Adult)
Application for Enrollment (Minor)
Tribal ID Card Application
Tribal Spouse ID Card Application
Address Update Form
CCBUTI Minor Trust Fund Release Request
Voter Registration Form
Tribal Member Business Registration Form

Education

For Education forms or programs, visit www.cowcreekeducation.com or email info@cowcreekeducation.com.

Health

For questions about any of these forms or programs, please call one of our clinics at 541-672-8533 (Roseburg clinic) or 541-839-1345 (Canyonville clinic) or email us at info@cc.anvilnorthwesthosting3.com.

Behavioral Health Intake Form
Tribal Dental Health Application
Preferred/Referred (Formerly Contract Health Care) Application
Over-the-Counter Program Application

Housing

For questions about any of these forms or programs, please call 541-492-5215 or email info-housing@cc.anvilnorthwesthosting3.com.

Down Payment Assistance Application
Home Repair Assistance Application
Elder Emergency Home Repair Assistance Application
Medical Adaptation Assistance Program Application
Rental Assistance Program
Student Rental Assistance Application
Low-Income Tribal Housing Application
Indian Health Services Sanitation Application
Housing Programs Application
Guest Registration Form
Pet Application

Social Services

For questions about any of these forms or programs, please call 541-672-9405 or email info@cc.anvilnorthwesthosting3.com.

Emergency Request Form
Firewood Program Application
Food Bank Application
Low Income Home Energy Assistance Program Application
Medicare Reimbursement Part B Application
Project Warmth Application
Tribal Veteran Form
Tribal Safety Program Application
For a Transitional Housing Application, please call 541-677-5575 and ask for our Self-Sufficiency Case Manager.