Fostoria, OH · Seneca County
Indigent Burial Application
This application requests indigent burial funds from the City of Fostoria and is completed by the deceased person’s representative and, when applicable, the person who claimed the body.
What this form is
The application collects information about the deceased person’s residency, benefits, assets, and burial resources, along with financial and household details about the applicant and spouse. The deceased person’s representative completes pages 3 through 8, and the form warns that unanswered questions may be grounds for denial. It asks the applicant to return the completed and signed form to the City of Fostoria.
Who needs it
A deceased person’s representative seeking City of Fostoria indigent burial funds should complete the application, including the additional applicant information when applicable.
How to submit it
Return the completed and signed form to City of Fostoria, ATTN: Eric Keckler, 213 South Main Street, Fostoria, Ohio 44830. The form lists (419) 435-8282.
About notarization
This document is signed without a notary; the signer just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Indigent Burial Application PDF.
- 2
Complete The Required Questions
Answer the questions about the deceased person and, when applicable, the applicant and spouse. The form warns unanswered questions may be grounds for denial.
- 3
Gather Additional Information
Attach additional sheets where needed, as directed by the form, including for property, accounts, income, expenses, or prior employers.
- 4
Sign And Return The Form
Sign and date the form, then return it to the City of Fostoria at the address listed on the application.
Frequently asked questions
- Who completes the Indigent Burial Application?
- The form says pages 3 through 8 are to be completed by the deceased person’s representative. It also includes applicant information for the person who claimed the body.
- What information does the application request?
- It asks about the deceased person’s residency, benefits, assets, and burial funds, as well as the applicant’s household, income, expenses, and financial resources.
- How do I submit the Indigent Burial Application?
- Return the completed and signed form to City of Fostoria, ATTN: Eric Keckler, 213 South Main Street, Fostoria, Ohio 44830.
- Do I need a notary for the Indigent Burial Application?
- No. This document is signed without a notary; the signer just signs and dates it.
Need something notarized?
This Indigent Burial Application doesn’t need a notary — but if you have another Fostoria form that does, a commissioned online notary can help.