Burial & Funeral Assistance Application

 

Note: All fields marked with a red asterisk (*) are required.

  • Personal Information of Deceased

  • Applicant

    Executor or other Eligible Applicant
  • Funeral Home Information

  • Signature

  • Drop files here or
  • Terms and Conditions

    By accessing the Burial and Funeral Assistance Program benefit, I recognize it is the intent of Tribal Council that the Program be funded from the Tribe’s general fund, and that payments issued under the Program will not be subject to state or federal taxation and will not reduce fixed income or other benefits of the recipients. However, recipients should consult with their own tax and/or legal professionals to determine actual tax and benefit consequences.

    I agree to repay any funds that the Tribe deems to have been misused, and that the Tribe may pursue any available remedies at law and/or equity to recover misused funds.

    By signing, I certify the information contained in this application is complete and accurate to the best of my knowledge. I understand that I am signing this application under penalty of criminal prosecution if I knowingly give false information which results in payment to which I am not entitled. I agree that the General Resources Department may contact other tribal programs for pertinent information as it applies to this application.

  • By checking this box I acknowledge that I have read and agree with the preceding terms and conditions.

Instructions

The Snoqualmie Indian Tribe has established the following criteria with the intent to ensure the Burial and Funeral Assistance Program provides financial assistance to meet the basic needs of the Tribal community in accordance with the Tribe’s General Welfare Policy.

 

Eligibility

Must be a deceased enrolled Snoqualmie Tribal Member and/or minor child of an enrolled Tribal member who is not enrolled in a tribe other than the Snoqualmie Indian Tribe.

 

Requirements
    • The applicant must be the Executor of the Estate for the deceased and/or point of contact who has written authorization from the executor. In the event that there is no executor, applicant eligibility will be determined per the Burial and Funeral Assistance Policy.
    • Certified death certificate must be submitted within 60 days after the date of passing.

 

Limits on Distribution
    • Funds will only be accessible within one calendar year after the date of passing.
    • Funding is available up to $30,000, minus any funding that the Tribal Member previously accessed using Pre-Planning Assistance. The Department will inform the executor of the remaining funding balance upon application submission.
    • The funds cannot be used toward an expense that is considered lavish or extravagant (i.e. first-class plane tickets, exotic venues, or other purchases that are otherwise excessive, etc.).
    • Program benefits are subject to change and may increase/decrease based on available funding or by Snoqualmie Indian Tribal Council Resolution.
Applications and Supporting Documents can be attached to this E-form, scanned, faxed, mailed, or hand-delivered to the Snoqualmie Tribal Office at:

Mailing Address:
ATTN: General Resources Department
P.O. Box 969
Snoqualmie, WA 98065

Fax Number: (206) 202-4535

Email: generalresources@snoqualmietribe.us