Residential Cleaning Supplies Application

Residential Cleaning Supplies Online Application

Residential cleanings supplies will be provided to Tribal Member households and residents in the community of Kotzebue. Applications are required to ensure your household receives the supplies during each distribution. Distributions are anticipated to occur in January and March of 2021 while supplies last.

Distribution dates will be announced as supplies arrive in Kotzebue.  Pick up instructions will be publicized on the radio, through social media and on qiracovid.org.

To receive these funds, apply online at www.qiracovid.org prior to December 23, 2020; please call our COVID-19 response hotline at (907) 442-5317 or email the processing team to Cares@QIRA.org for more information.
  • Section 1 - Applicant Information

  • Section 2 - Residential Cleaning Supplies Requested

  • Section 3 - APPLICANT CERTIFICATION

  • Date Format: MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.

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Send Questions or Completed Applications to
Cares@QIRA.org