Form W-1053 Application for Payment of Funeral and Burial Expenses - Connecticut

Form W-1053 Application for Payment of Funeral and Burial Expenses - Connecticut

What Is Form W-1053?

This is a legal form that was released by the Connecticut State Department of Social Services - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form W-1053?
A: Form W-1053 is the Application for Payment of Funeral and Burial Expenses in Connecticut.

Q: Who can use Form W-1053?
A: Form W-1053 can be used by individuals who need assistance with funeral and burial expenses in Connecticut.

Q: What expenses does Form W-1053 cover?
A: Form W-1053 covers funeral and burial expenses, including transportation, cemetery charges, and related costs.

Q: Is there a deadline to submit Form W-1053?
A: Yes, Form W-1053 must be filed within 180 days from the date of the decedent's death.

Q: What documents do I need to submit with Form W-1053?
A: You will need to submit the death certificate, itemized funeral bill, and other supporting documentation.

Q: Who should I contact for assistance with Form W-1053?
A: You can contact the Connecticut Office of the Probate Court for any questions or assistance with Form W-1053.

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Form Details:

  • Released on April 1, 1997;
  • The latest edition provided by the Connecticut State Department of Social Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form W-1053 by clicking the link below or browse more documents and templates provided by the Connecticut State Department of Social Services.

Download Form W-1053 Application for Payment of Funeral and Burial Expenses - Connecticut

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