This version of the form is not currently in use and is provided for reference only. Download this version of Form C-65 for the current year.
This is a legal form that was released by the New York State Workers' Compensation Board - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form C-65?
A: Form C-65 is a document used in New York to provide proof of expenses for burials, funerals, and memorial services by an undertaker.
Q: Why do I need Form C-65?
A: You need Form C-65 to prove the expenses you incurred for burials, funerals, and memorial services conducted by an undertaker.
Q: Who uses Form C-65?
A: Form C-65 is used by individuals who want to claim reimbursement for burial, funeral, and memorial service expenses in the state of New York.
Q: What information is needed on Form C-65?
A: Form C-65 requires information such as the name of the deceased, date and location of services, and a detailed breakdown of expenses incurred.
Q: Is there a deadline to submit Form C-65?
A: Yes, Form C-65 should be submitted within 60 days from the date of the burial, funeral, or memorial service.
Q: What happens after submitting Form C-65?
A: After submitting Form C-65, the expenses will be reviewed, and if approved, you may be eligible for reimbursement.
Q: Can I claim all expenses related to burials, funerals, and memorial services?
A: You can only claim expenses that are reasonable and necessary for the burial, funeral, or memorial service.
Form Details:
Download a fillable version of Form C-65 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.