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Chickasaw Nation Burial Assistance Program fax number

(580) 310-6422

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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

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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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