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Get LA Claim Form For Funeral Expenses

D and signed by the claimant. b) Must list all claims that need to be paid/reimbursed. 2. Claim Form For Funeral/Burial Expense Verification (to be filled out by provider (funeral home, cemetery, etc.) a) Please make sure form is completely filled out and signed by the provider. b) Is there an insurance policy? 1) Dedicated funeral/burial policy? a) Treat the amount of the policy as a Collateral Source. b) CVR does not reimburse for funeral/burial policies. 2) Life insurance policy? a) Has lif.

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