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Applications, permits, sign-ups & requests around Gila River — and where to get each one

77 forms · the link opens the office's own page or PDF. If you're not sure which one you need, ask Olen.

Money & benefits

Apply or update AHCCCS (Health-e-Arizona Plus)
AHCCCS (Arizona Medicaid) - apply or renew · Gila River Health Care (GRHC)
Application

Apply for or renew AHCCCS (Arizona Medicaid) coverage

Open form520-562-3321
Connect 45 application (online)
GRTI - Lifeline, Elder Concession and Connect 45 discounts · Gila River Telecommunications, Inc. (GRTI)
Application

Get up to $45 off internet

Open form520-796-3333
Elder Concession Application
GRTI - Lifeline, Elder Concession and Connect 45 discounts · Gila River Telecommunications, Inc. (GRTI)
Application

Apply for elder discount

Open form520-796-3333
GRICUA Physician Statement (medical alert)
GRICUA - extreme heat/cold disconnect policy and medical alert form · Gila River Indian Community Utility Authority (GRICUA)
Application

Get on the medical alert list

Open PDF520-796-0600
Levelized Billing Form 2025
GRICUA - budget billing and pre-pay electric · Gila River Indian Community Utility Authority (GRICUA)
Application

Enroll in budget billing

Open PDF520-796-0600
Lifeline application (FCC Form 5629)
GRTI - Lifeline, Elder Concession and Connect 45 discounts · Gila River Telecommunications, Inc. (GRTI)
Application

Apply for Lifeline discount

Open form520-796-3333
Per Capita application
Per Capita Office · GRIC Office of the Treasurer
Application

Apply for per capita

Open form520-562-5222
E-statements sign-up
Per Capita Office · GRIC Office of the Treasurer
Sign-up

Get statements by email

Open form520-562-5222
Address update form
Per Capita Office · GRIC Office of the Treasurer
Request

Update your mailing address

Open form520-562-5222
Adult distribution request
Per Capita Office · GRIC Office of the Treasurer
Request

Request a distribution

Open form520-562-5222
Burial assistance request at your District Service Center
Burial assistance · GRIC Community Services Department
Request

Apply for burial help

Pick up: District Service Center520-562-9691
Per capita payment method change
Per Capita Office · GRIC Office of the Treasurer
Request

Change how you receive per capita

Open form520-562-5222
Trust early disbursement instructions
Per Capita Office · GRIC Office of the Treasurer
Request

Request early disbursement from a trust

Open form520-562-5222
Lifeline annual recertification (Form 5630)
GRTI - Lifeline, Elder Concession and Connect 45 discounts · Gila River Telecommunications, Inc. (GRTI)
Form

Renew Lifeline each year

Open form520-796-3333
Power of attorney form
Per Capita Office · GRIC Office of the Treasurer
Form

Authorize someone to act for you

Open form520-562-5222
VITA intake forms (2026 season)
GRIC VITA free tax help · GRIC Internal Audit Department
Form

Start free tax preparation

Open form520-562-9550

Housing

GRIC Public Rentals application
Department of Community Housing: public rental application (low rent) · GRIC Department of Community Housing
Application

Apply for a public (low-rent) rental

Open form520-562-3904
URAP application FY27 (with policy)
Urban Rental Assistance Program (URAP) · GRIC Department of Community Housing
Application

Apply for urban rental assistance

Open form520-562-3904
URAP intake
Urban Rental Assistance Program (URAP) · GRIC Department of Community Housing
Application

Start URAP intake

Open form520-562-3904
DCH complaint form
Department of Community Housing: public rental application (low rent) · GRIC Department of Community Housing
Request

File a housing complaint

Open form520-562-3904

Health

New Medical Chart (patient intake form)
Patient Registration · Gila River Health Care (GRHC)
Sign-up

Fillable new medical chart for a new patient

Open PDF520-562-3321
Patient Portal login (InteliChart)
Patient Portal (InteliChart) · Gila River Health Care (GRHC)
Sign-up

Log in to your GRHC patient portal

Open form
Authorization for Release of Protected Health Information
Patient Forms (living will, health care POA, DNR, records release) · Gila River Health Care (GRHC)
Request

Have your medical records sent to you or another provider

Open PDF520-562-3321
DNR form (orange)
Patient Forms (living will, health care POA, DNR, records release) · Gila River Health Care (GRHC)
Form

Do-not-resuscitate order, to complete with your provider

Open PDF520-562-3321
Healthcare Power of Attorney form
Patient Forms (living will, health care POA, DNR, records release) · Gila River Health Care (GRHC)
Form

Name someone to make health decisions for you

Open PDF520-562-3321
Living Will form
Patient Forms (living will, health care POA, DNR, records release) · Gila River Health Care (GRHC)
Form

Write down your end-of-life wishes

Open PDF520-562-3321

School & learning

AZ Scholarship Application / Income Declaration 2026-27
Maricopa Village Christian School (K-6, District 7) · Maricopa Village Christian School
Application

Apply for tuition scholarship

Open PDF520-430-6827
MVCS Admission Application 2026-27
Maricopa Village Christian School (K-6, District 7) · Maricopa Village Christian School
Application

Apply for admission

Open PDF520-430-6827
Scholarship Application
GRIC Higher Education Scholarship (TED) · GRIC Tribal Education Department (TED)
Application

Apply for GRIC higher-education scholarship

Open form520-562-3662
Casa Blanca enrollment packet 2026-27
Casa Blanca Community School (Bapchule, District 5) · Casa Blanca Community School
Sign-up

Enroll a student

Open PDF520-315-3489
Head Start enrollment (call or visit your center)
GRIC Head Start and Early Head Start (TED) · GRIC Tribal Education Department (TED)
Sign-up

Enroll a child in Head Start / Early Head Start

Pick up: Sacaton, Santan, Vah Ki or Komatke Head Start center520-562-6901
MyGED test-taker profile
GED / High School Equivalency testing (TED Higher Education) · GRIC Tribal Education Department (TED)
Sign-up

Create a profile and schedule GED tests

Open form520-562-3662
Skyline online enrollment
Skyline Gila River School (grades 5-12, Chandler) · Skyline Gila River
Sign-up

Enroll a student online

Open form480-750-0024
Advocacy Referral Form - Student Support Specialist
Child Development and Education Support Services / Child Find (TED) · GRIC Tribal Education Department (TED)
Request

Ask for an education advocate

Open form520-562-3662
Change of Student Information
GRIC Higher Education Scholarship (TED) · GRIC Tribal Education Department (TED)
Request

Update your name, address or contact info

Open form520-562-3662
New Student Referral
Child Development and Education Support Services / Child Find (TED) · GRIC Tribal Education Department (TED)
Request

Refer a child for screening/services

Open form520-562-3662
Request for Change of Educational Institution
GRIC Higher Education Scholarship (TED) · GRIC Tribal Education Department (TED)
Request

Transfer to another school

Open form520-562-3662
Request for Change of Program of Study
GRIC Higher Education Scholarship (TED) · GRIC Tribal Education Department (TED)
Request

Switch your major or program

Open form520-562-3662
Arizona School Tax Credit donation (see page)
Casa Blanca Community School (Bapchule, District 5) · Casa Blanca Community School
Form

Donate up to $200 single / $400 joint to the school and claim it as an Arizona tax credit; must be received by Dec 31

Open form520-315-3489
Consent to Release Information
GRIC Higher Education Scholarship (TED) · GRIC Tribal Education Department (TED)
Form

Lets TED get your school records

Open form520-562-3662
Nurse Consent Form
Casa Blanca Community School (Bapchule, District 5) · Casa Blanca Community School
Form

Health/nurse consent for enrollment

Open PDF520-315-3489
Release of Information
Child Development and Education Support Services / Child Find (TED) · GRIC Tribal Education Department (TED)
Form

Lets the program share records

Open form520-562-3662

City, tribe & state

Application for Marriage License
Gila River Community Court (Judicial Branch) · Gila River Indian Community Court
Application

Apply for a marriage license

Open form520-562-9860
Business License application
Business license and Transaction Privilege Tax (TPT) · GRIC Business License / Taxation Office
Application

Get a business license

Open form520-562-9662
Mail-in membership application packet
Enrollment/Census Department (membership, CIB, tribal ID) · GRIC Enrollment/Census Department
Application

Apply for enrollment (by mail or appointment)

Open form520-562-9790
Tribal Identification card form
Enrollment/Census Department (membership, CIB, tribal ID) · GRIC Enrollment/Census Department
Application

Get a tribal ID card

Open form520-562-9790
Non-member resident registration form
Enrollment/Census Department (membership, CIB, tribal ID) · GRIC Enrollment/Census Department
Sign-up

Register as a non-member resident

Open form520-562-9790
Dance permit application
Cashier's Office and payment portal · GRIC Office of the Treasurer
Permit / license

Get a permit for a dance

Open form520-562-9600
Special event vendor business license information
Business license and Transaction Privilege Tax (TPT) · GRIC Business License / Taxation Office
Permit / license

Vendor license for events

Open form520-562-9662
Authorization to Release form
Enrollment/Census Department (membership, CIB, tribal ID) · GRIC Enrollment/Census Department
Request

Release enrollment records

Open form520-562-9790
Jury excuse form
Gila River Community Court (Judicial Branch) · Gila River Indian Community Court
Request

Ask to be excused from jury duty

Open form520-562-9860
Petition for Order of Protection
Gila River Community Court (Judicial Branch) · Gila River Indian Community Court
Request

Ask the court for an order of protection

Open form520-562-9860
Petition for Restraining Order
Gila River Community Court (Judicial Branch) · Gila River Indian Community Court
Request

Ask for a restraining order

Open form520-562-9860
Request for Court Record
Gila River Community Court (Judicial Branch) · Gila River Indian Community Court
Request

Get a copy of a court record

Open form520-562-9860
Request for Payment Plan or Extension of Time to Pay
Gila River Community Court (Judicial Branch) · Gila River Indian Community Court
Request

Ask for more time to pay fines

Open form520-562-9860
Business License and TPT online payment
Business license and Transaction Privilege Tax (TPT) · GRIC Business License / Taxation Office
Form

Pay license and TPT online

Open form520-562-9662
Transaction Privilege Tax (TPT) form
Business license and Transaction Privilege Tax (TPT) · GRIC Business License / Taxation Office
Form

Report and pay TPT

Open form520-562-9662

Utilities & travel

Agreement of Electrical Service (Residential)
GRICUA - new electric service (home, business, lighting) · Gila River Indian Community Utility Authority (GRICUA)
Application

Sign the service agreement

Open PDF520-796-0600
GRICUA Propane Application
GRICUA - propane delivery · Gila River Indian Community Utility Authority (GRICUA)
Application

Sign up for propane delivery

Open PDF520-796-0600
GRTI Residential Application for Service (online/PDF)
GRTI - home internet and phone service · Gila River Telecommunications, Inc. (GRTI)
Application

Order home internet/phone

Open form520-796-3333
Residential Electric Service Request
GRICUA - new electric service (home, business, lighting) · Gila River Indian Community Utility Authority (GRICUA)
Application

Start electric service at a new home

Open PDF520-796-0600
Text alerts sign-up
GRTI - pay bill and text alerts · Gila River Telecommunications, Inc. (GRTI)
Sign-up

Get bill reminders by text

Open form520-796-3333
TripSpark Passenger Portal sign-up
Medical Transportation Services (MTS) · Gila River Health Care (GRHC)
Sign-up

Create an account to request and manage medical rides

Open form602-528-1384
Dusk-to-dawn / street light agreement
GRICUA - new electric service (home, business, lighting) · Gila River Indian Community Utility Authority (GRICUA)
Request

Request a new dusk-to-dawn light (owner or owner's written permission)

Open PDF520-796-0600
GRICUA Change Form
GRICUA - customer change form (move, name or account change) · Gila River Indian Community Utility Authority (GRICUA)
Request

Change an existing account

Open PDF520-796-0600
Report a broken light (online form)
GRICUA - report a broken street light · Gila River Indian Community Utility Authority (GRICUA)
Request

Report a street light problem

Open form520-796-0600
Report an outage (call 24 hours)
GRICUA - report a power outage · Gila River Indian Community Utility Authority (GRICUA)
Request

Report a power outage

Call 520-796-0600
Pay online / customer login
GRICUA - paying your electric bill · Gila River Indian Community Utility Authority (GRICUA)
Form

Pay bill or view account

Open form520-796-0600

Emergency

Emergency alert sign-up (RAVE via Smart911)
Emergency alerts sign-up (RAVE / Smart911) · Gila River Public Safety
Sign-up

Get emergency text, email and voice alerts for a home, work or other address

Open form
EMS ride-along form
Gila River Emergency Medical Services (EMS) · Gila River Emergency Medical Services
Request

Ask to ride along with an ambulance crew; email it back and EMS replies in about 48 hours

Open form520-796-4586
Police report request form
Gila River Police Department (non-emergency and records) · Gila River Police Department
Request

Get a copy of a police report

Open form520-562-4511
Submit a complaint about an officer
Gila River Police Department (non-emergency and records) · Gila River Police Department
Request

File a complaint about an officer

Open form520-562-4511
Commend an officer
Gila River Police Department (non-emergency and records) · Gila River Police Department
Form

Praise an officer

Open form520-562-4511

Community

Club membership (online portal)
Boys & Girls Clubs of the Gila River Indian Community
Sign-up

Become a Club member

Open form520-550-1113
TRW membership and activity registration (ActiveNet)
Tribal Recreation & Wellness (TRW) · GRIC Tribal Recreation & Wellness
Sign-up

Free gym membership and class or league sign-up

Open form

Culture

Tribal Health temporary food establishment application
Mul-Chu-Tha Fair: vendor forms and information · Mul-Chu-Tha Fair
Permit / license

Permit for food vendors

Open form
Food Handler Awareness Training information
Mul-Chu-Tha Fair: vendor forms and information · Mul-Chu-Tha Fair
Form

Food handler requirement for vendors

Open form