Form C-65 Proof of Expenses for Burials, Funerals and Memorial Services by Undertaker - New York

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Form C-65 Proof of Expenses for Burials, Funerals and Memorial Services by Undertaker - New York

What Is Form C-65?

This is a legal form that was released by the New York State Workers' Compensation Board - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form C-65?
A: Form C-65 is a document used in New York to provide proof of expenses for burials, funerals, and memorial services by an undertaker.

Q: Why do I need Form C-65?
A: You need Form C-65 to prove the expenses you incurred for burials, funerals, and memorial services conducted by an undertaker.

Q: Who uses Form C-65?
A: Form C-65 is used by individuals who want to claim reimbursement for burial, funeral, and memorial service expenses in the state of New York.

Q: What information is needed on Form C-65?
A: Form C-65 requires information such as the name of the deceased, date and location of services, and a detailed breakdown of expenses incurred.

Q: Is there a deadline to submit Form C-65?
A: Yes, Form C-65 should be submitted within 60 days from the date of the burial, funeral, or memorial service.

Q: What happens after submitting Form C-65?
A: After submitting Form C-65, the expenses will be reviewed, and if approved, you may be eligible for reimbursement.

Q: Can I claim all expenses related to burials, funerals, and memorial services?
A: You can only claim expenses that are reasonable and necessary for the burial, funeral, or memorial service.

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Form Details:

  • Released on June 1, 2016;
  • The latest edition provided by the New York State Workers' Compensation Board;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form C-65 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.

Download Form C-65 Proof of Expenses for Burials, Funerals and Memorial Services by Undertaker - New York

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