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 **U.S. Railroad Retirement Board**
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 Proof Of Payment Of Burial Expenses
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          Lump-Sum Death Payment, Residual Lump-Sum, Annuities Unpaid at Death
          Furnishing Proof to Support Your Application
          Proof Of Payment Of Burial Expenses
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              Lump-Sum Death Payment
          Residual Lump-Sum
          Annuities Unpaid At Death
          Railroad Tax Refund
          Furnishing Proof to Support Your Application
                                General Information
          Proof Of Death
          Proof Of Marriage
          Proof Of Payment Of Burial Expenses
          Proof Of Military Service
          Proof Of Appointment As Legal Representative
          Proof Of Relationship
          After You Apply For Your Benefits
          Other Forms You May Need
          Paperwork Reduction & Privacy Act Notice
          Nondiscrimination On The Basis Of Disability
          Fraud, Waste, and Abuse Hotline Proof Of Payment Of Burial Expenses
							 
							
							
            RB-21
      
            (12-18)
      
            To prove the payment of all or any part of the burial expenses you must either submit RRB Form G-273a or an itemized, receipted statement or bill from the funeral director and other persons furnishing goods and services. The receipt must identify the deceased person, be signed by the funeral director or other person to whom payment was made and give all of the following information:

Total amount of all burial expenses.
	Name of each person who paid the burial expenses.
	Amount and date of each payment.
	Amount of unpaid burial expenses.If more than one funeral home is involved, proof of payment of burial expenses must be furnished by each one.

**NOTE:** If there are unpaid burial expenses, RRB Form G-273a must be submitted.
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U.S. Railroad Retirement BoardWilliam O. Lipinski Federal Building844 North Rush Street
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 Last updated: 12/13/2018