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Authority: AS 12.65.025 AS 18.05.040 7 AAC 35.145. Claims for services. (a) The department will pay costs described at AS 12.65.025(a), (b), or (c) subject to legislative appropriation and the limitation of this section. (b) A medical examiner, funeral director, embalmer, state agency or common carrier shall submit a claim to the department for payment of a cost described at AS 12.65.025 by delivering the claim to the division as directed by the division. A claim authorized by this subsection must include

(1) the name and address of the claimant;

(2) the date when and location at which services were provided;

(3) the state medical examiner’s accession number and name of the deceased;

(4) an itemized description of the services and goods provided;

(5) the name and address to which payment should be directed;

(6) the names and addresses of all other persons to whom the claimant has submitted or will submit claims for goods and services related to the deceased, the amounts of any such claims, and the nature of the services for which the claims were or will be made. (c) A person or state agency may submit a claim to the department for payment of a cost described at AS 12.65.025(b) or (c) only if he or she is authorized to provide those services under AS 08.42 and only if the department has authorized the person to provide clothing and a casket for, or cremation and inurnment of, the deceased. A claim authorized under this subsection must include the information required under (b) of this section and, in addition, must include the name, address, and relationship to the deceased of the person legally responsible for burial of the deceased. (d) A person responsible for the final disposition of the deceased may request that the department authorize the provision of clothing and a casket for the deceased, or cremation and interment of the deceased, as follows:

(1) A request must include

(A) the name of the deceased;