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Chickasaw Nation Burial Assistance Program fax number
(580) 310-6422
Chickasaw Nation Social Services Division (Department of Community Services)
Used for: Submit Burial Assistance Grant Application to Chickasaw Nation Social Services; the program provides financial assistance toward burial expenses (up to $5,000 per Tribal Burial Assistance Program; the grant application form indicates up to $2,500). Funds are paid directly to the funeral home.
Fax destination details
- Department
- Chickasaw Nation Social Services Division (Department of Community Services)
- Purpose
- Submit Burial Assistance Grant Application to Chickasaw Nation Social Services; the program provides financial assistance toward burial expenses (up to $5,000 per Tribal Burial Assistance Program; the grant application form indicates up to $2,500). Funds are paid directly to the funeral home.
- Form
- Burial Assistance Grant Application — Burial Assistance Grant Application
- Address
- Ada: 231 Seabrook Road / Post Office Box 1548 / Ada, Oklahoma 74820; Ardmore: 949 Locust / Ardmore, Oklahoma 73401; Duncan: 1819 West Plato Road / Duncan, Oklahoma 73533; Pauls Valley: 20118 South Indian Meridian Road / Pauls Valley, Oklahoma 73075; Purcell: 1430 Hardcastle Boulevard / Purcell, Oklahoma 73080; Sulphur: 4970 West Highway 7 / Sulphur, Oklahoma 73086; Tishomingo: 815 East 6th Street / Tishomingo, Oklahoma 73460; Oklahoma City: 4001 North Lincoln / Oklahoma City, Oklahoma 73105-5206
- Voice phone
- (580) 310-6481
- Website
- Visit organization website
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Submit within six months following the death; provide a copy of CDIB/tribal citizenship, a copy of the death certificate, a final itemized statement from the funeral home, proof of residency, Social Security card, and income verification if applicable; sign and submit.
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