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NOD WISCONSIN DEPARTMENT OF HEALTH SERVICES Division of Health Care Access and Accountability F-10143 (11/13) WISCONSIN FUNERAL AND CEMETERY AIDS PROGRAM REIMBURSEMENT NOTICE Name Decedent Case Number
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How to fill out Wisconsin funeral and cemetery:

01
Obtain necessary forms: Start by acquiring the required forms for filling out the Wisconsin funeral and cemetery documentation. These forms can usually be obtained from the funeral home or cemetery where the services will be conducted.
02
Gather information: Collect all the necessary information that is required to complete the forms. This may include details such as the deceased person's full legal name, date of birth, date of death, and Social Security number.
03
Determine the type of service: Decide whether the funeral will be a burial or a cremation service. This decision will determine the specific forms that need to be filled out.
04
Complete the Application for Burial Permit: If the chosen service is a burial, fill out the Application for Burial Permit. This form typically requires information about the deceased person's cause of death, place of death, and the name of the attending physician or medical examiner.
05
Fill out the Cremation Authorization Form: If the service involves cremation, fill out the Cremation Authorization Form. This form usually asks for details such as the intended disposition of the ashes and the name of the authorizing individual.
06
Provide payment: Some forms may require a payment or fee. Make sure to include the necessary payment with the completed forms, if applicable.

Who needs Wisconsin funeral and cemetery:

01
Individuals responsible for planning a funeral: If you are tasked with arranging a funeral or memorial service in Wisconsin, you may need to access the Wisconsin funeral and cemetery resources. It is important to familiarize yourself with the process and required forms.
02
Family members or friends of the deceased: Loved ones of the deceased may need to understand the procedures and paperwork involved in organizing funeral and cemetery arrangements in Wisconsin. This knowledge can help ensure a smooth and organized farewell for the departed.
03
Funeral directors and cemetery staff: Professionals working in the funeral and cemetery industry in Wisconsin need to be well-versed in the necessary paperwork and procedures. They play a crucial role in guiding families and individuals through the process and ensuring legal compliance.
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Wisconsin Funeral and Cemetery is a report that must be filed by funeral homes and cemeteries in the state of Wisconsin.
Funeral homes and cemeteries in Wisconsin are required to file the Wisconsin Funeral and Cemetery report.
The Wisconsin Funeral and Cemetery report can be filled out online through the designated state website or submitted through mail with the required information.
The purpose of the Wisconsin Funeral and Cemetery report is to provide information on funeral and cemetery services provided in the state.
The Wisconsin Funeral and Cemetery report must include information on the number of funerals conducted, cremations performed, and cemetery plots sold.
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