Covington, OH · Miami County
Indigent Burial Assistance Application and Affidavit
This application and affidavit requests Village of Covington assistance with basic cremation or body donation for a deceased resident whose family cannot afford burial expenses.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The application collects information about the deceased person’s residency, income, assets, benefits, and household, along with details about the person requesting assistance. The Village requires a completed, signed, notarized application and proof of residency and indigent circumstances before services take place; it does not reimburse cremation costs incurred before approval. The policy provides for basic cremation or donation, subject to the Village’s eligibility review and stated cost limit.
Who needs it
A person requesting Village assistance for a deceased Covington resident, or a funeral director applying for a person who died without adequate funds, must complete the applicable sections.
How to get this notarized
- 1
Download the Application
Get the Indigent Burial Assistance Application and review the policy and application instructions.
- 2
Complete the Applicable Sections
Provide the requested information and gather proof of the deceased person’s residency and indigent circumstances.
- 3
Book an Online Notary
Arrange a session with a commissioned online notary for the Part F affidavit.
- 4
Sign on Video
Sign the affidavit during the online notarization session when directed by the notary.
- 5
Submit to the Village
Deliver the completed application to the Village of Covington for review before services take place.
Preview the form
The blank PDF straight from Covington. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I submit the Indigent Burial Assistance Application?
- Complete the applicable sections, provide proof of residency and indigent circumstances, and have the applicant sign Part F before a notary. Submit the completed application to the Village before any services take place.
- Do I need to have the application notarized?
- Yes. The Village’s application instructions say it must be signed and notarized. Part F is an affidavit sworn before a notary.
- Can I sign the affidavit with a commissioned online notary?
- Ohio law authorizes online notarization by Ohio notaries and recognizes notarial acts by officers authorized where performed. Check that the Village will accept your completed application this way; confirm with the city or village if unsure.
- Who may apply for assistance?
- A person requesting assistance for a deceased resident may complete Part E. A funeral director may apply when the deceased died without adequate funds and has no living or responsible relative.