Certificate of Degree of Indian or Alaska Native Blood Form

Submit the completed CDIB request form along with certified copies of the required documents to the BIA Agency from whom you receive services. Contact details for the Office of Indian Services are 202-513-7640. Mail the documents to the relevant BIA Agency address listed in the Tribal Leaders Directory, available on the official website.

The primary important date for this form is the expiration date of 11/30/2024. Ensure that all requests are submitted before this date to be valid.

The purpose of the Certificate of Degree of Indian or Alaska Native Blood (CDIB) request form is to formally establish an individual's Native American heritage. This certification is essential for accessing various federal program services and benefits available to American Indians and Alaska Natives. The form ensures that individuals who claim Native American ancestry can provide documented proof of their lineage, which is crucial for eligibility verification. By completing this form, individuals can demonstrate their relationship to an enrolled member of a federally recognized Indian tribe through birth records and other supporting documents. The CDIB request form helps maintain accurate tribal enrollment records and ensures that only eligible individuals receive federal program benefits. This process supports the integrity of the services provided to Native American communities and helps prevent fraud. The CDIB request form also serves as a valuable tool for preserving tribal heritage and lineage information. It allows individuals to trace their ancestry and ensure that their cultural and familial connections to federally recognized tribes are officially recognized. By providing accurate and verifiable documentation, the form contributes to the ongoing effort to honor and preserve Native American heritage.

• 1. Requester's Name: List all names by which the requester is or has been known.
• 2. Requester's Address: Provide the requester's current address, including zip code.
• 3. Requester's Date of Birth: Enter the requester's date of birth.
• 4. Father's Name: Provide the father's name.
• 5. Requester's Place of Birth: Enter the place of birth of the requester.
• 6. Tribe: Specify the tribe with which the requester is enrolled.
• 7. Roll No.: Provide the roll number if applicable.
• 8. Is Requester Adopted?: Indicate if the requester is adopted and provide details if applicable.
• 9. Mother's Name: Provide the mother's name.
• 10. Tribe(s) with which Requester is enrolled: List the tribes with which the requester is enrolled and provide roll numbers if applicable.
• 11. Paternal Grandfather's Name: Enter the paternal grandfather's name.
• 12. Paternal Grandmother's Name: Enter the paternal grandmother's name.
• 13. Maternal Grandfather's Name: Enter the maternal grandfather's name.
• 14. Maternal Grandmother's Name: Enter the maternal grandmother's name.
• 15. Date Received by Bureau of Indian Affairs: Provide the date the form was received by the Bureau of Indian Affairs.
• 16. Submit to: Submit the completed form to the BIA Agency from whom you receive services.

Failure to submit the CDIB request form may result in the inability to access federal program services intended for American Indians or Alaska Natives.

• Ineligibility for Services: You may become ineligible for federal program services that require proof of Indian or Alaska Native blood.
• Delayed Processing: Your request may be delayed, and additional documentation may be required for a complete submission.
• Missed Deadlines: Missing the form submission deadlines could result in the loss of appeal rights or other benefits.

• 1. Federal Program Services: To establish eligibility for various federal benefits and services available to American Indians or Alaska Natives.
• 2. Tribal Enrollment: To become enrolled or verify existing enrollment in a federally recognized tribe.
• 3. Correction of Information: To update or correct personal information on existing CDIB records.
• 4. Genealogical Research: To trace Native American ancestry and document lineage for family history purposes.
• 5. Adoption Cases: To prove the biological heritage of adopted individuals claiming Native American ancestry.