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Get Burial Allowance Application Form M 860w

Nce NOTE: Application must be completed and submitted within 60 days of death of the individual for whom a burial allowance grant is sought. 1. Decedent's Information Name of deceased: Last address of deceased: Date of Birth: Date of Death: Place of Death: Cause of Death: Is there any legal action because of the death? g No c d e f c d e f g Yes If yes, please provide details: 2. Funeral Expense: $ c d e f g Cremation: $ Burial Expenses: g Grave Opening: $ c d e f Paid by: Total cost of.

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