BURIAL ASSISTANCE APPLICATION by Kaw Nation | Mar 14, 2023 | Uncategorized The maximum amount paid for burial assistance is $5,000.00. Checks are mailed directly to the funeral home. Tribal Membership Card of Deceased Choose FileNo file chosenDelete uploaded file Attach a copy of deceased membership card showing enrollment number. Deceased Kaw Member Enrollment Number * Copy of Death Certificate * Choose FileNo file chosenDelete uploaded file Attach a copy of deceased membership card showing enrollment number. Name of Deceased * Maiden Name if Applicable Date of Death * Degree of Kaw Blood Birthdate of Deceased: * Last Known Address of Deceased * Date of Funeral * Name & Address of Funeral Home * COPY OF INVOICE SHOWING COST OF FUNERAL EXPENSES * Choose FileNo file chosenDelete uploaded file Attach invoice here COPY OF FUNERAL HOME'S W-9 (IF AVAILABLE) Choose FileNo file chosenDelete uploaded file Attach W-9 here Next of Kin Completing Application * Relationship to Deceased * Address * Phone I certify that I am an enrolled citizen of the Kaw Nation and that I am not enrolled with another tribe. I understand that dual enrollment is not allowed and that if evidence of such is found, this application will be void and I will be denied services. I also understand that if evidence of dual enrollment is found after services are received, that legal action may be taken to recover any benefits awarded. * Start signing your signature here Your browser does not support e-Signature field. Applicant Signature Date * Send Message
