DHS-0008A Irrevocable Funeral Contract Certification DHS-0008A Irrevocable Funeral Contract Certification 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the Grantee Name and Grantee Client ID at the top of the form. Ensure that all information is accurate.
3. In Section I, provide details about the funeral contract, including the date of the contract, name of the contract seller, and amount. Check the appropriate box regarding any assigned death benefits.
4. Fill in the beneficiary's information, including their name, Social Security number, address, and birthdate. Don’t forget to sign and date this section.
5. Move to Section II where the contract seller must certify compliance with Public Act 255. Enter their name, address, phone number, registration number, and expiration date before signing.
6. Finally, Section III will be completed by a representative from the Department of Human Services for approval. Ensure all previous sections are filled correctly to avoid disapproval.

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