1 Official genealogical centre of the Canadian Métis Council Intertribal For research to begin please forward the following information: Copy of Photo I.D. Long Form Birth Certificate or Baptismal Record of client with parents listed on it. We require only a copy of this certificate. Parent information for birth, death and marriage dates where applicable. Grandparent information for birth, death and marriage dates where applicable. Great-grandparents names with birth, death and marriage dates where applicable. ONLY USE SIDE WITH MÉTIS LINK With all of the above provided, (for family members born after 1901) this will give enough information to make a legal verifiable link to Indigenous ancestry- if there is a connection to be made. ***Genealogy can NOT be shared with Brother, Sister, Niece, Nephew, Auntie, Uncle, Cousin or Grandparent. Genealogy is only used between Parent to child or child to parent.*** Once you obtain the required information it can be mailed, emailed, dropped off along with a $200.00 non-refundable fee includes shipping in Canada made payable to MGCC. If shipping to the USA, Money Order in US funds made payable to MGCC is required. If you have any further questions, please feel free to contact us: Thank you, Métis Genealogical Centre of Canada Central Processing Office for the Canadian Métis Council Suite 900-294 Portage Ave Winnipeg, Manitoba R3C 0B9 Phone 204-417-4727 Email metisgcc@gmail.com Web www.metisgcc.com
Surname Given Names Apt Street # Street Name City/Prov./Postal Code Email Address Phone Date/Place of Birth OFFICE USE ONLY Open File Date Closed File Date Receipt Number Genealogy File Number Photo I.D Long Form Birth Certificate Parents Marriage Certificate Mothers Long Form Birth Certificate Fathers Long Form Birth Certificate Baptismal Records We have undertaken this research based on the documentation and information provided to us by the above named individual. We attached the following documents or portions thereof as checked off: Genealogy 1870 Census Half Breed Scrip/Land Grant 1901 Census Other (Census/Government/Journals) The above named individual s Ancestor can be identified as being Métis (Half-Breed, French-Cree, etc.) through the attached documents. We certify that the attached documents, and the documentation and information supplied by this individual, are to the best of our knowledge, reliable and authentic. On behalf of Métis Genealogical Centre of Canada, Signed this Day of in the year 201 I,, agree that the (PLEASE PRINT NAME HERE) MGCC/CMC-IT may keep copies of this completed form with the attached documents for uses pursuant to the MGCC/CMC-IT mandate, policies, and procedures. Signed this (your signature here) 2
Your Métis Genealogical Centre of Canada Full name Date of marriage Place of marriage Father Fathers full name Date of marriage Place of marriage Date of death Place of death Mother Mother full Name Date of birth Place of birth Date of death Place of death 3
***NOTE: Grandparent/Great Grandparent information required until it reaches at least 110 years as it is covered under the privacy act of Canada*** Your Father s Parents: Grandfather Date of birth Grandmother 4
***NOTE: Grandparent/Great Grandparent information required until it reaches at least 110 years as it is covered under the privacy act of Canada*** Your Mother Parents Grandfather Grandmother 5
***NOTE: Grandparent/Great Grandparent information required until it reaches at least 110 years as it is covered under the privacy act of Canada*** MÉTIS SIDE ONLY Great Grandfather Great Grandmother 6
Spouse ***NOTE: Only if applicable*** Father Mother 7
Child ***Add an additional sheet if required*** Name Name of Spouse Spouses date of birth Date of marriage Place of marriage Child Name Name of Spouse Spouses date of birth 8
Grandchildren ***Add an additional sheet if required*** Grandchild (goes with child ) Name Grandchild (goes with child ) Name Grandchild (goes with child ) Name Grandchild (goes with child ) Name 9