Burial Forms

Burial Form - Traditional Services Assistance

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Name of Tribal Member*
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Person Filling Out Application*
Applicant Address*
Funeral Home Address*

Attention

Assistance Not to Exceed $500.00 for Traditional Services.

Appeal Rights

Request for a Fair Hearing for services being denied regarding this application must be made in writing to the Business Committee of the Tonkawa Tribe of Oklahoma within fifteen (15) days of notification for services being denied.

*NOTE* In accordance with January 21, 1988, Oklahoma Tax Commission’s determination, the Tonkawa Tribe of Oklahoma is EXEMPT from sales and/or use tax. The Tribe’s Federal Employer Identification Number is 73-0948136, copiers are available upon request.

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Burial Form - Burial Assistance Application

MM slash DD slash YYYY
Name of Tribal Member*
MM slash DD slash YYYY
Person Filling Out Application*
Applicant Address*
Funeral Home Address*

Attention

Assistance Not to Exceed $4,500.00 to Funeral Home.

Service Provider: A signed and dated itemized statement and certified death certificate must be attached to this application before payment will be made.

Appeal Rights

Request for a Fair Hearing for services being denied regarding this application must be made in writing to the Business Committee of the Tonkawa Tribe of Oklahoma within fifteen (15) days of notification for services being denied.

*NOTE* In accordance with January 21, 1988, Oklahoma Tax Commission’s determination, the Tonkawa Tribe of Oklahoma is EXEMPT from sales and/or use tax. The Tribe’s Federal Employer Identification Number is 73-0948136, copiers are available upon request.

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