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Community Care of Wake and Johnston Counties (CCW JC) Adult Care Management Referral Form CAROLINA ACCESS MEDICAID and FIRST IN HEALTH* Please fax completed form to (919) 723-9382 Date: Referral Source/Agency:
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How to fill out community care of wake
How to Fill Out Community Care of Wake:
01
Start by obtaining the necessary documents: You will need the community care of wake form, which can usually be obtained from the funeral home or the relevant office in your area. Ensure you have a copy of the deceased person's death certificate as well.
02
Provide personal information: Begin by filling in your own personal information, including your full name, address, contact number, and relationship to the deceased.
03
Complete the deceased person's information: Fill in the required details about the deceased, such as their full name, date of birth, date of death, and their relationship to you.
04
Specify funeral arrangements and preferences: Indicate the desired funeral arrangements, including any specific instructions or religious customs that should be followed. This may include preferences for burial or cremation, choice of casket or urn, and location for the wake or memorial service.
05
List family members and attendees: Provide the names and contact information of immediate family members who should be notified about the wake arrangements. You may also list any additional individuals who should be informed or invited to attend the wake.
06
Indicate any special requests or considerations: If there are any additional requests or considerations you would like to make known, such as cultural traditions, donations to specific organizations, or preferences for floral arrangements, provide these details in the appropriate section.
07
Sign and submit the form: Once you have completed all the necessary sections, review the information for accuracy and sign the community care of wake form. Ensure you submit the form to the relevant office within the designated timeframe to facilitate the funeral planning process.
Who needs community care of wake?
01
Family members and close relatives: Community care of wake is typically required by immediate family members and close relatives of the deceased. This includes individuals who are responsible for making funeral arrangements, notifying others about the wake, and ensuring the deceased's wishes are fulfilled.
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Friends and acquaintances: In some cases, friends and acquaintances of the deceased may also need community care of wake to facilitate the funeral planning process and ensure their involvement in honoring the memory and paying their respects.
03
Funeral homes and relevant authorities: Community care of wake may be required by funeral homes and relevant authorities to document and organize the details of the wake and funeral arrangements. This helps in maintaining proper records and ensuring compliance with legal and administrative procedures.
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What is community care of wake?
Community Care of Wake is a program that provides comprehensive health and human services to individuals and families in Wake County, North Carolina.
Who is required to file community care of wake?
All individuals and families in Wake County who are in need of health and human services are required to file for Community Care of Wake.
How to fill out community care of wake?
To fill out Community Care of Wake, individuals and families can visit the official website or contact the program office for assistance.
What is the purpose of community care of wake?
The purpose of Community Care of Wake is to ensure that individuals and families in need have access to necessary health and human services.
What information must be reported on community care of wake?
Information such as income, household composition, medical history, and other relevant details must be reported on Community Care of Wake.
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