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West Virginia Income Maintenance Manual Chapter 20

West Virginia Income Maintenance Manual Page 35 Chapter 20 Emergency and Special Assistance Programs

20.3.3.B Applicant If an applicant (i.e., one who is liable or one who simply wishes to pay the allowable amount) indicates that he agrees to make the allowable payment of $2,200 to the funeral home, the Worker must deny the application for payment of burial. See Section 20.3.3.E If the applicant agrees to pay any amount less than the allowable amount or indicates that he cannot make any payment toward the allowable amount, the Worker must approve the application for a burial payment providing all other eligibility requirements are met. 20.3.3.C Responsible Relative A responsible relative is a relative who is liable for the burial costs of the deceased, i.e., spouse, children, parents, or siblings. If the applicant is a responsible relative, then the Worker must verify their income. 20.3.3.D Application Submittal Deadline Payment for burial expenses cannot be made unless the application form, DFA-BU-1, has been completed and the applicant found eligible for payment and the date of interment or cremation did not occur more than 30 days prior to the date of application. The application form must be signed in blue ink. 20.3.3.E Decision on the Application After the applicant has completed the application form, DFA-BU-1, and the Affidavit of Responsible Relative, DFA-BU-2, the Worker can take the appropriate action on the application: • All questions on the application form must be answered by the applicant and signed and dated by the applicant when appropriate. The DOHS will not make payment if the DFA- BU-1 form is not completed or completed improperly.