Homesite Waiting List

The information provided will be entered into the Waiting List for Homesites. When homesites become available, whoever is first on the waiting list will be notified of this availability. Please be sure to keep your information up to date.

This field is for validation purposes and should be left unchanged.

Registration or Update(Required)

Registration

Update

First Name(Required)

Last Name(Required)

Date of Request(Required)

Mailing Address (where you receive mail)(Required)

Street Address Address Line 2 City ZIP / Postal Code

Phone(Required)

Message Number

Secondary phone number

Gila River Indian Community Enrollment Number(Required)

Date of Birth(Required)

Sex

Male

Female

Requesting Homesite in District(Required)

Please enter a single district number 1-7

Upload supporting documentation. It is required that a copy of the Tribal I.D. or CDIB be uploaded.(Required)

Drop files here or

Accepted file types: pdf, jpg, png, Max. file size: 50 MB, Max. files: 3.

Drag and drop files or use the Select Files button to select and upload documents, such as: Copy of Tribal I.D., Copy of Certified Degree of Indian Blood (CDIB).

Signature of Requester(Required)