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Please read this ENTIRE page for important information regarding the CDIB Application requirements

CERTIFICATE OF DEGREE OF INDIAN BLOOD

The application for Certificate of Degree of Indian Blood (CDIB) must be completed showing your DIRECT lineage to an original enrollee of the Final Choctaw Dawes Rolls BY BLOOD. (Please use both married and maiden names for females.)

The DAWES COMMISSION ROLL BOOK, the FINAL ROLL of the Five Civilized Tribes, which we use for Certification of Degree of Indian Blood, was compiled mainly during the years 1899-1906. Anyone who died before 1899 or was born after March 4, 1906 DOES NOT HAVE A ROLL NUMBER.

DOCUMENTS REQUIRED TO PROCESS APPLICATION

1. An ORIGINAL state certified (full form) birth certificate is required on the applicant. NO COPIES WILL BE

ACCEPTED. You must provide a state certified birth and death (if applicable) certificate for each person in your lineage back to and including the enrollee, if the enrollee died after 1952. The original birth certificates will be mailed back once your paperwork is complete.

2. Delayed birth and death certificates require additional supporting documents. We will provide you with the appropriate forms

if we do not have the information on file.

3. If you are adopted, you must trace your Choctaw blood through your natural (biological) parent(s). We will need a STATE

CERTIFIED FULL COPY BIRTH CERTIFICATE (after adoption) AND A COPY OF THE ADOPTION DECREE. If the ADOPTION DECREE does not show the natural parent(s), you will ALSO need to submit one of the following: (1) Your birth certificate before adoption, showing natural (parent(s) names or (2) PETITION TO ADOPT, that specifically names your natural (biological) parents(s). We may require additional documents that prove natural parentage.

4. DO NOT go on-line to obtain a state birth certificate.

5. Provide copy of Social Security card for each applicant.

All applications must be accompanied by the required state certified birth/death certificates.

The state issued birth/death certificate must show full parentage and must be signed by the state registrar.

All birth certificates must display the state file number.

WE DO NOT ACCEPT HOSPITAL, CITY, COUNTY OR STATE SHORT FORM BIRTH CERTIFICATES.

Mail completed applications and required documents to:

Choctaw Nation of Oklahoma

CDIB Office P.O. Box 1210 Durant, OK 74702

Questions? Call toll free (800) 522-6170 or (580) 924-8280

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Application for: Tribal Membership/Voters Registration Choctaw Nation of Oklahoma P.O. Box 1210, Durant, OK 74702

Application for:

Tribal Membership/Voters Registration

Choctaw Nation of Oklahoma

P.O. Box 1210, Durant, OK 74702

Phone: (580) 924-8280 or (800) 522-6170

Fax: (580) 924-4529

Name (please print)

First

Middle

Last

Maiden (Cards always issued in maiden name)

Physical Address

Mailing address, if different

City

State

ZIP Code

County

Phone Number

Birthday

Sex

Social Security Number (Must be provided)

I CERTIFY THAT THE INFORMATION GIVEN IN THIS APPLICATION IS TRUE. I AM NOT A MEMBER OF ANOTHER TRIBE, NOR AM I REGISTERED TO VOTE WITH ANOTHER TRIBE.

Signature

Date

Please complete one for ALL minors. If under 16 years of age, a parent or guardian will need to sign. If 16 years of age and older, then applicant will need to sign for themselves. Once a member reaches the age of 18 years then they can vote.

Residents: Residents of the Choctaw Nation 10 1/2 county service area will be registered to vote in the precinct in the county in which they reside. Absentee voting will be allowed by written request to the Election Board Chairman prior to an election.

Non-Residents: Applicants residing outside the Choctaw Nation 10 1/2 county service area will be registered to vote by mail. If you live outside of the Choctaw Nation boundaries, you may affiliate with ONE of the districts below, however, it is not required. Once you affiliate you must remain in the district you have chosen, unless you move into the Choctaw Nation boundaries.

PLEASE CHECK THE PROPER DISTRICT AND PRECINCT.

District 1

District 4

District 7

District 10

0

Idabel

0 Poteau

0 Antlers

0 Atoka

0

Valliant

0 Spiro

0

Choctaw Council House

0

Kiowa

 

0

Summerfield

0 Rattan

0 Stringtown

District 2

0

Heavener

0

Wright City

0 Caddo

0

Broken Bow

0 Lane

0

Bethel

District 5

District 8

 

0

Stigler

0

Hugo

District 11

District 3

0 Kinta

0 Boswell

0 Hartshorne

0

Burkhart

0 Keota

0 Fort Towson

0 McAlester

0

Smithville

0 Spiro

0 Kiowa

0

Talihina

District 9

0

Heavener

District 6

0

Bennington

District 12

 

0

Buffalo

0 Durant

0 Coalgate

0

Red Oak

0 Calera

0 Canadian

0

Wilburton

0 Atwood

0

Quinton

0 Tupelo

 

0 Arpelar