Verification of Indian Preference - 4432

You may request us to complete a 4432 document, which verifies your Indian Preference for employment in the Bureau of Indian Affairs and the Indian Health Service, through this form. We will complete the 4432 form on your behalf using the details provided below and will email you the verification document. If you cannot receive email, please complete the print form instead.

Full Legal Name Full Legal Name Title First Middle Last Suffix
Your Date of Birth Your Date of Birth / MM / DD YYYY
What date do you need this completed by? What date do you need this completed by? / MM / DD YYYY
What date does the job close? What date does the job close? / MM / DD YYYY
Email to receive the verification document

Once signed by the Superintendent, we will email you the verification card. If you cannot receive email, please complete the print form instead.