Form M-860w PDF Details

The Human Resources Administration (HRA) will provide financial assistance to individuals in need of assistance to meet funeral expenses.

Who applies: the individual who makes the funeral arrangements or his/her representative must file an application within 60 days from the DOD, in person.

Death certificate: one original certified copy of the Death Certificate (it will be returned to the applicant).

Funeral contract: a copy of the Funeral Contract also known as the Statement of Goods and Services Selected.

Notarization: required only if application is submitted by an authorized representative.

QuestionAnswer
Form NameForm M-860w
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out9 min
EditionRev. 7/9/13
Issuing agencyHuman Resources Administration
Where to fileBurial Claims Unit, 25 Chapel Street, 6th Floor, Brooklyn, NY 11201-1954
Matches the agency's fileYes, checked October 4, 2026
Other namesM-860w, M860w, Form M-860w, Application For Burial Allowance, HRA burial assistance application, NYC burial claims
Official sourceForm M-860w (Rev 7/9/13), Human Resources Administration