The Klamath Tribes
Member Benefits Department
501 Chiloquin Boulevard
PO BOX 436
Chiloquin, OR 97624
Phone: (541) 783-2219 | Fax: (541) 783-7768
Burial Assistance is available for enrolled deceased Klamath Tribal Members for Wake Service and/or Funeral Service.
Submit the completed Burial Assistance application as soon as possible to begin the approval process. In order to complete the approval process, the Member Benefits Department must receive the business’ current-year W-9, itemized invoice, and a copy of the Certificate of Death.
Please provide contact information for the person completing this form.
In order to receive payment for services, the business must provide a current-year W-9.
10. By signing this document, I certify that the information provided is accurate and true to the best of my knowledge