Burial Assistance
Delaware Nation provides burial assistance for enrolled tribal citizens or those minors eligible to
be enrolled (and not enrolled in any other tribe) up to $6,500. Eligibility must be determined by the
enrollment department. Payment will be made directly to the funeral home selected. Assistance is for
burial expenses and/or marker or monument.
BURIAL ASSISTANCE AVAILABLE:
1. PREPAID BURIAL ASSISTANCE: A tribal citizen (age 60 or over) or diagnosed with a terminal
illness, may obtain assistance to purchase an irrevocable contract burial plan with a funeral home
of their choice.
Required Documents:
Copy of irrevocable contract with funeral home for cost of service
Death Certificate (Family must request one for the tribe when the tribal citizen is deceased.)
If applicable, a letter from the tribal citizen’s medical doctor stating the terminal diagnosis
Application may be submitted at any time by the tribal citizen.
2. BURIAL ASSISTANCE: A tribal citizen’s next of kin may obtain assistance with funeral
arrangements at a funeral home of their choice.
Required Documents:
Invoice stating funeral home’s cost for service
Death Certificate (Family must request one for the tribe when making funeral arrangements)
Please submit application 90 days from the date of funeral service.
FAMILY DINNER:
Family Dinner allocation of $250.00 will be available to the family for food. The next of kin
designated on the application will receive the check for this service.
SERVICES AREA
NATIONWIDE
Revised_ November 2019
Social Services
P.O. Box 825
Anadarko, OK 73005
Toll Free 1-800-203-2121
Phone (405)247-2448
Fax (405)247-5942
BURIAL ASSISTANCE APPLICATION
Name of Tribal Citizen
Type of Assistance Requested: ____ Prepaid Burial ____Burial Assistance
Date of Birth Date of Death (if applicable) Age
Enrollment#
Male
Female
Social Security #
Marital Status:
Single
Divorced
Widowed
Address
City
State
Zip
Home Phone
Cell Phone
Payment made to:
Name of Funeral Home Phone
Address
City
State
Zip
I certify that the information submitted on this form for participation in the Delaware Nation Tribal Burial Program, is
true and correct to the best of my knowledge.
Signature
Date
OFFICE USE ONLY
Approved
Date:
Social Services
Tribal Administrator
Revised_ November 2019
NEXT OF KIN
Relationship
click to sign
signature
click to edit