WAG 22-06-04: Vendor Claims

PM 22-06-04.

Funeral homes and cemetery associations must submit separate claims. These claims must have itemized, dated receipts, or statements showing payment of all expenses.

  1. (Vendor) Completes HFS 29, Funeral or Burial Claim Form.

    NOTE: If the claim is for expenses for the disposal of limb(s), notes that fact in Item 17. 

    1. Sends HFS 29 to FCRC.
  2. (FCRC) Review accuracy of HFS 29 and check timeliness.
  3. (FCRC) Send HFS 29 to Funeral and Burial Unit, Springfield, if timely and complete.

If the claim is denied or amended by FCRC:

  1. (FCRC) Complete 3 copies HFS 1959, Funeral/Burial Payment Request Notice.
    1. Enter the reason for denial or amendment of the request or claim.
  2. (FCRC) 2. Send the original HFS 1959 to the person requesting payment.
    1. Send a copy to the Funeral and Burial Unit, Springfield.
    2. File the 2nd copy in the case record.