Alabama - Obtain Certification of Funeral Expenses

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Procedure

Apply By Mail

1. To Obtain Certification of Funeral Expenses, the applicant has to Mail the application to U.S. Department of Labor Office of Workers' Compensation link
2. The applicant has to download the application form from the following link
3. The applicant has to fill in all the necessary details in the application form. (Incomplete applications are not accepted)
4. Make sure that the applicant has attached all the necessary documents that are mentioned in the “Required Documents” section of this page.
5. The applicant has to attach the photocopies of the required documents along with the application form while submitting.
6. Submit all the documents with the completed form to the concerned officer.
7. The applicant has to pay the prescribed fee as requested by the authority.
8. After receiving the application, the concerned authority will check the submitted application and document set. If all are in place, the application will be accepted.
9. All applications are processed within a reasonable time, having regard to the particular circumstances of each application, including the completeness of information and documents submitted to the authority by the applicant.
10. The authority may seek additional information from an applicant if this is necessary to assess the application. The authority does not need to deal further with an application until the applicant has provided this additional information.
11. Once the New-member application form and contributions are received by the fund, the authority will send you a welcome pack, with your membership card and benefit information.
12. This entire process can be completed within 30 days or as per the timeline advised by the respective department authority.

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Required Documents

• Completed application form link
• Proof of identity
• Employee identity card

Office Locations & Contacts

U.S. Department of Labor
Office of Workers' Compensation Programs
Division of Longshore and Harbor Workers' Compensation
400 West Bay Street,
Suite 63A, Box 28 Jacksonville, FL 32202.
State Offices link
Contact link

Eligibility

• Any person who intends to Obtain Certification of Funeral Expenses is eligible to make this application.

Fees

• The fee for this procedure is free of cost.

Validity

Explain the time until which the certificate/document is valid.
e.g. Birth Certificate Valid Forever

Documents to Use

• Application form link

Sample Documents

Please attach sample completed documents that would help other people.

Processing Time

• This entire process can be completed within 30 days or as per the timeline advised by the respective department authority.

Related Videos

Videos explaining the procedure or to fill the applications.
Attach videos using the following tag <&video type='website'>video ID|width|height<&/video&> from external websites.
Please remove the '&' inside the tags during implementation.
Website = allocine, blip, dailymotion, facebook, gametrailers, googlevideo, html5, metacafe, myspace, revver,
sevenload, viddler, vimeo, youku, youtube
width = 560, height = 340, Video ID = Can be obtained from the URL of webpage where the video is displayed.
e.g In the following url 'http://www.youtube.com/watch?v=Y0US7oR_t3M' Video ID is 'Y0US7oR_t3M'.

Instructions

• Applicants must complete the application form before submitting it. Incomplete applications will not be accepted.
• Applicants must provide genuine information while applying for this procedure.

Required Information

• Name of the applicant
• Address
• Email
• Relationship to deceased
• Name of the deceased
• Address
• Name of the funeral director
• Contact details
• OWCP No
• Carrier’s no
• Funeral Services Performed
• Total amount paid

Need for the Document

• A Certification of Funeral Expenses is a document that verifies the cost of a funeral or burial. This document is typically used to help individuals or families apply for financial assistance, such as government benefits or insurance pay-outs, to cover funeral expenses.

Information which might help

• Death Benefits are paid to a widow or widower or other eligible survivors if the injury causes the employee's death. Reasonable funeral expenses are paid up to a maximum of $3,000.
• The widow or widower receives 50% of the average weekly wage of the deceased employee for life or until remarriage. Additional compensation is payable - 162/3% of the employee's average weekly wage - for one or more children.
• If children are the sole survivors, 50% of the employee's average weekly wage is paid on behalf of the first child. Where more than one child is entitled to benefits, a maximum of 662/3% applies, shared equally.
• Other Eligible Survivors - parents, brothers, sisters, grandparents and grandchildren who were dependent on the employee.

Other uses of the Document/Certificate

Please explain what are other uses of obtaining this document/certificate.
e.g. Birth Certificate can be used as proof of identity.

External Links

• For more information link

Others

More information which might help people.