When individuals pass away without the means to pay for their funeral expenses, the Commonwealth of Pennsylvania provides a semblance of dignity in death through the PA 118 form, a Burial Payment Request. This critical document bridges the gap for families and representatives, encompassing a range of applicants - from relatives to fraternal society agents, carrying the heavy burden of arranging a decent farewell for the deceased. It meticulously captures essential details such as the deceased's personal information, the relationship of the requester to the deceased, the financial contribution towards burial or cremation expenses by the requester and others, and lists all accessible assets in the deceased's estate. Additionally, it requires the requestor to attest to the accuracy and completeness of the information provided, with a space for the signature of a witness to these declarations. On the flip side, the form doubles as an invoice for the funeral director to fill out, ensuring that the Pennsylvania Department of Public Welfare (DPW) covers no more than the stipulated amount, less any reductions from available resources or contributions towards the total expense, thereby streamlining the process. This comprehensive approach ensures a clear outline of responsibilities and available support, acknowledging the financial strain funeral costs can impose, while upholding respect for the deceased and their family during a time of loss.
| Question | Answer |
|---|---|
| Form Name | Form Pa 118 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | pa 118 form burial payment request, DPW, pa118 form social security, form pa 118 |