Explanatory Distribution Form

Place your cursor over the desired area on the form and click to obtain an explanation of what type of information is required for that particular field along with associated regulation and/or policy requirements.

Transaction Number for Office Use Only Recorded Holder(s) Contact Information Work Declaration Number List the Mining Claim Number(s) Total Value of Work to be Drawn from the Bank Total Value of Work to be Applied to the Mining Claim Certification by Recorded Holder or Agent Number of Claim Units Image of form Application to Distribute Banked Assessment Work Credits