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West Virginia Income Maintenance Manual Chapter 20

West Virginia Income Maintenance Manual Page 40 Chapter 20 Emergency and Special Assistance Programs

determine sufficient ability of other relatives who wish to contribute to the burial costs but are not liable. The DFA-BU-2, will be completed by the applicant in the following manner: • When the applicant is a relative who is liable for the burial costs of the deceased, Form DFA-BU-2 must be completed. If the relative refuses to complete the form, the application is denied. • When the applicant is a relative who is not liable for the burial costs, the Worker will request the relative to complete the form for the purpose of developing resources. He may refuse to complete the form and the application is not denied. • When the applicant is not a relative of the deceased, he completes the form for the purpose of developing resources but does not sign the form. • A funeral home that is applying on behalf of the deceased does not need to complete the DFA-BU-2. The completion of the form is self-explanatory. The Worker shall explain to the person signing the form that witness signatures are required only when the person signs the form with his "mark". In this situation, the persons who act as witnesses must actually see the person place his "mark" on the form. 20.3.4.E.1 Responsibilities of the Funeral Home Director The Funeral Home Director will complete the DFA-67-A form, Burial Billing Form. The signature must be in blue ink. If any questions arise in completing the form, the Funeral Home Director should consult the Funeral Home Director Handbook or contact the Worker for questions about form completion. 20.3.4.E.2 Responsibilities of the Worker The Worker and his Supervisor will enter their signatures and date upon the completed DFA-67- A form in blue Ink. In addition, the Worker must compare the resources reported by the Funeral Home Director on the DFA-67-A form with the resources reported by the applicant on the DFA- BU-1 application form. Any discrepancies must be resolved by contacting the applicant and Funeral Home Director. Approval will be withheld until the discrepancies are resolved. If necessary, the Worker may request verification of statements or claims made by the applicant or the Funeral Home Director. The purpose of this procedure is to provide authorization for