MMF Citizenship Application Form

Full Name

First Name *

Middle Name

Middle Name 2

Last Name *

Maiden Name

Region

Region *

Local *

Mailing Address

Please use the address where you receive mail (PO Box, RR/LCD, GD/STN, street, etc.).

Number and Street *

Province *

City *

Postal Code *

Harvester Card

Yes, I also want a Harvester Card

By selecting yes, you agree to the following:

In the case that I have applied for and have been issued an Metis Harvester Identification card, in the event that I am charged, have property seized, or am under investigation for exercising my aboriginal harvesting rights, I agree and authorize the MMF to request such information as required to determine the nature of such charges, seizures, and /or investigations, and herby authorize Manitoba and Canada to release such information and documentation to the MMF and its representatives in respect to such charges, seizures, and/or investigations.

I am a Metis resident of Manitoba and do herby make application for the MMF Metis Harvester Identification Card.
If I intend to harvest fish, big-game, small-game, game-bird (upland, migratory, wild turkey), firewood and other resources, I have demonstrable proof of sufficient knowledge of firearm, vehicular, and boating safety and operation, as applicable to the activity. I am solely responsible to ensure I have met all health and safety regulations and requirements, including possessing all applicable federal and provincial firearms, vehicular, and boating safety and operating certificates and licenses.
I understand that my participation in the MMF Metis Harvesting Initiative, which includes the use of the Card, is an exercise of my Métis Rights. I accept, and agree to abide by, the MMF Constitution and Bylaws, and all MMF procedures and policies governing the use of the Card, including the MMF Metis Laws of the Harvest.
I certify that the foregoing is true and accurate. I acknowledge and agree that if the information contained in this application form is subsequently determined to be false, the Card issued by MMF will be deemed invalid and will be revoked by MMF.
I hereby release and discharge MMF, its officers and employees, of and from all manner of action, claims, demands, and damages whatsoever which I have or otherwise hereafter may have for or by reason of any injury, loss or damage arising from the issuance of a Card and/or the use of such Card by me.

Phone Number

Home *

Work

Cell *

Email Address *

Date Of Birth *

Gender *

Height (Feet) *

Height (Inches) *

Eye Color *

Country Of Birth *

Province Of Birth *

City/Town Of Birth *

Father Name

First Name

Middle Name

Middle Name 2

Middle Name 3

Last Name

Mother Name

First Name

Middle Name

Middle Name 2

Middle Name 3

Last Name

Maiden Name

I am using my own genealogy
Yes No

Someone Else's Genealogy?

First Name *

Last Name *

Birthday *

Genealogy

Choose File

I Authorize The Use Of My Genealogy
Yes No

General Application Comments

Maximum file size is 10MB per file.

Birth Certificate/ Baptism Certificate

Choose File

Government ID

Choose File

Your Photo (Passport quality)

Choose File

Signature Upload

Choose File

Local Upload - Page 10

Due to the COVID 19 pandemic, Page 10 of the application is not required to be completed at this time.

Payment Information

Application and Card Ordering	Location	Reason	Fees	Notes
Citizen	Manitoba	Under 55 and Youth Cards	$10.00	Includes postage
Citizen	Manitoba	Over 55	$ -	Free - Includes postage
Citizen & Harvester*	Manitoba	Under 55 and Youth Cards	$20.00	Includes postage
Citizen & Harvester*	Manitoba	Over 55	$ -	Free - Includes postage
Citizen	Canada	Under 55	$20.00	Includes postage
Citizen	Canada	Over 55	$10.00	Includes postage

Harvester cards can not be processed individually online. Harvester cards can only be requested in conjunction with a citizenship application at this time. If you have a Citizenship number and want a Harvester card, please contact your Regional Office or email us at citizenship@mmf.mb.ca .
Harvester cards are only available to Manitoba residents.

Your total today: $

Credit Card Number *

Expiry Month *

Expiry Year *

CVV *

I, , applicant for Citizenship, into the MMF and/or Metis Harvester Identification Card, hereby authorize the following:

I hereby authorize and request the Department of Aboriginal Affairs Northern and Development Canada (AANDC) to release and provide to the MMF all information and documentation with respect to whether I am a member on a Band list or in the Indian Register according the provisions of the the Indian Act, R.S.C., C.1-6 as amended.

I hereby authorize and grant permission to the MMF to conduct document verification with the appropriate organizations and/or agencies if necessary for the sole purpose of confirming ancestry concerning application for Citizenship with the MMF and or Metis Harvester Identification card.

I have read Our MMF Privacy Statement and consent to the storage and use of my personal information provided in this application as described in the document above.

Northwest Regional Office	Ph: 204-638-9485
Interlake Regional Office	Ph: 204-646-2706
Southeast Regional Office	Ph: 204-754-2721
Southwest Regional Office	Ph: 204-725-7520
The Pas Regional Office	Ph: 204-623-5701
Thompson Regional Office	Ph: 204-677-1430
Winnipeg Regional Office	Ph: 204-589-4327
Central Registry Office	Ph: 204-586-8474

Before you begin, please answer the following questions:

Full Name

Region

Mailing Address

Harvester Card

Phone Number

Father Name

Mother Name

Someone Else's Genealogy?

Payment Information