Tribal Member Vaccination Incentive Program

**DEADLINE TO APPLY: SEPTEMBER 30**

The Menominee Indian Tribe of Wisconsin is proud to announce a $200 incentive program to encourage Menominee Tribal members to receive the COVID-19 vaccines and boosters. Tribal members between the ages of 5 to 11 who are fully vaccinated on or before August 31, 2022 and Tribal members age 12 and older who are fully vaccinated and have received a booster on or before August 31, 2022 are eligible to receive the incentive. Please see additional criteria and details below.

ENROLLED TRIBAL MEMBERS must meet ALL the following criteria to receive the incentive

• Enrolled Tribal Member on or before 8/31/2022
• Ages 5 to 11:

o Fully vaccinated (having completed a 2-dose series of the Pfizer vaccine) on or

before 8/31/2022

• Ages 12 and older:

o Fully vaccinated (having completed a 2-dose series of either the Pfizer or Moderna

Vaccines or the single dose Johnson and Johnson vaccine) AND

o Received a 3rd booster dose on or before 8/31/2022

• Complete Vaccination Incentive Application process on or before 9/30/2022

HOW TO CLAIM YOUR INCENTIVE

Tribal members can apply through the Vaccination Incentive Portal within the Menominee Members Only Portal starting on Monday, April 18, 2022. Access requirements for both the Members Only Portal and the Vaccination Booster Incentive Application are below:

Menominee Members Only Portal Access Requirements

• Enrollment Number
• Date of Birth
• Valid Email Address (Members Only Portal Access Issues Call The IT Help Desk: 715-799-5117)

A paper application is available here and will be accepted at the Tribal Offices Reception area or can be mailed to Menominee Tribal Administration, P.O. Box 910, Keshena, WI 54135. Please be sure to include a copy of your immunization record. VACCINATION CARDS WILL NOT BE ACCEPTED.

Vaccination Incentive Application Completion Requirements

The CDC vaccination card will NOT be accepted as a verification of vaccination or booster. Tribal members must submit the following:

• Wisconsin Immunization Registry record obtained from the Wisconsin Immunization Registry. To obtain proof of vaccination you will need your name, birthdate, and social security number. Once this data is entered press the search button. This will generate your Personal Immunization History Record, this electronic document is your vaccination verification.

OR

• Other State Immunization Records or Vaccination Records from your Health Care Provider.
• Vaccination and booster status will be verified.

HOW WILL YOU RECEIVE YOUR INCENTIVE

All incentives payments will be in check form and mailed to the address on the Vaccination Incentive Application. Checks will be processed and mailed out on the 15th and 30th of each month for those individuals who had completed all necessary application materials in the members only portal. Please allow at least 10 business days for your check to arrive via the U.S. Postal Service.