Reimbursement Forms
Funeral Directors:
Below are the reimbursement forms that will be required. There is one form for Guaranteed Contracts, and one form for Non-Guaranteed Contracts. You can obtain the forms by clicking on the links below. Otherwise, Fiduciary Partners or the Receiver can provide them to you.
Reimbursement – Non-Guaranteed
As noted in the instructions to the reimbursement forms, each form must be submitted to Fiduciary Partners along with a death certificate or Affidavit of Death of the depositor, and a copy of the funeral bill (the Statement of Goods and Services).
Forms for other transactions with the Trust can be obtained from Fiduciary Partners.
Fiduciary Partners, Inc.
Attention: WFT
3913 West Prospect Avenue, Suite 201
Appleton, Wisconsin 54914
Toll Free: 866-380-9969
Fax: 920-380-9961
Email: WFT@fiduciarypartners.com