Get the free Referral to Indigent Burial Program - Yolo County Sheriff 's Office

Yolo CountY Sheriff S Office 140 Tony Diaz Drive Woodland CA 95776 530 406-5137 Public Administrator Referral to Indigent Burial Program This form is intended to be completed by facility staff member who is assuming responsibility for compliance with Health and Safety Code Section 7104. No. and state issued Military Service Yes Honorable Discharge No Branch of Service Dates of Military Service FINANCIAL Source of Income Patient Trust Balance Does individual have a Representative Payee If so...

How to fill out referral to indigent burial

How to fill out referral to indigent burial

1. To fill out a referral for indigent burial, follow these steps:
2. Gather all necessary documentation such as proof of income, proof of residency, and proof of indigency.
3. Contact the local government or social services department to inquire about the application process for indigent burial.
4. Complete the referral form with accurate and detailed information about the deceased person.
5. Attach the required documents along with the referral form.
6. Submit the completed referral form and supporting documents to the designated authority or department.
7. Follow up with the appropriate department to ensure that the referral is processed and approved.
8. In case of any additional requirements or information requested by the department, provide them promptly.
9. Once the referral is approved, the department will proceed with arranging the burial services for the indigent person.

Who needs referral to indigent burial?

1. Referral to indigent burial is intended for individuals who are unable to afford a proper burial for themselves or a deceased family member. This may include individuals who have no means to pay for funeral expenses, individuals with extremely low income or no income at all, and individuals who do not have any family members to take care of their burial arrangements. Eligibility criteria may vary depending on the local government or social services department.

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What is referral to indigent burial?

Referral to indigent burial is a process where a person who cannot afford a burial for themselves or a loved one is referred to a program or service that provides assistance with the costs.

Who is required to file referral to indigent burial?

Typically, a social worker or a designated individual from a community organization is required to file a referral to indigent burial on behalf of the individual in need.

How to fill out referral to indigent burial?

To fill out a referral to indigent burial, the individual in need must provide personal information, details about their financial situation, and any relevant documentation to support their request.

What is the purpose of referral to indigent burial?

The purpose of referral to indigent burial is to ensure that individuals who cannot afford a burial are provided with assistance and support to give their loved ones a proper send-off.

What information must be reported on referral to indigent burial?

The referral to indigent burial must include personal information of the individual in need, details about their financial situation, and any supporting documentation.