Band Member Benefit Program Application

Paqtnkek First Nation Registered Band Members who are 18 as of December 10th, will be eligible for $400 per person. Anybody under the age of 18 will be eligible for $250. Applications must be fully completed by December 10th to ensure that all direct deposits are processed on time.


All applications may be emailed to delphine.gould@paqtnkek.ca or dropped off to Paqtnkek Mi’kmaw Nation’s Band office.

Option 1: Download PDF Form To Fill Out

Option 2: Benefit Program Online Application

Please note this form is secured using an SSL Certificate.

  • Direct Deposit Banking Information

    If you have updated banking information, please provide us with the new banking information. If there were no changes, finance will use the banking information on file.

  • Trust Fund

    List all your children along with their band number and date of birth.
    Tip: Please use the plus sign on the right hand side to add another dependant.
  • Name of DependantBand Number (10 Digits)Date of Birth 

  • Signature

    By signing this I certify that I am registered band member of Paqtnkek Mi’kmaw Nation to verify and use the above information to process my application for Paqtnkek Mi’kmaw Nation Member Benefit Program.
  • MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.