Form H1276, Burial Fund Designation Worksheet

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Effective Date

5/2020

Instructions

Updated: 5/2020

Purpose

To provide a step-by-step worksheet for calculating the amount of excludable burial funds.

Procedure

When to Prepare

Complete Form H1276 when a client has designated burial funds.

Number of Copies

Complete one copy.

Transmittal

File the form in the case record.

Detailed Instructions

Self-explanatory.