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DHS-0008A Irrevocable Funeral Contract Certification DHS-0008A Irrevocable Funeral Contract Certification 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the Grantee Name and Grantee Client ID at the top of the form. Ensure that all information is accurate.
- 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.
- Fill in the beneficiary's information, including their name, Social Security number, address, and birthdate. Don’t forget to sign and date this section.
- 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.
- 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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| Versions | Form popularity | Fillable & printable |
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| 2009 | 4.8 Satisfied (103 Votes) |
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