Get Burial Billing Form - Dhhr Wv

Filling out the Burial Billing Form - Dhhr Wv online can be a straightforward process when approached step-by-step. This guide will provide you with the necessary information to navigate each section of the form effectively.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to access the Burial Billing Form - Dhhr Wv and open it in your preferred document editor.
2. In Part I, enter the information regarding the deceased, including the name, address, date of death, and address. You will also need to indicate if the deceased is potentially eligible for Social Security or Veteran’s Administration Death Benefits.
3. Complete Part II by providing details of the individual arranging the burial. Include their name and address.
4. In Part III, list known living relatives of the deceased, including their names, relationships, counties, and states of residence if applicable.
5. For Part IV, if you are a designated relative, complete and sign the statement certifying that neither you nor the relatives listed can cover the funeral expenses.
6. In Part V, the funeral home will need to fill in various financial details regarding the maximum allowable payments and available resources. Ensure accurate completion of all the financial fields.
7. Once all sections are filled out, you can save any changes, download the form for your records, print it, or share it as needed.

Start completing the Burial Billing Form - Dhhr Wv online today to ensure timely processing.