Probate Form Instructions

DHS hosts a number of forms used by local agencies to recover Medical Assistance (MA) funds. The following pages provide instructions on how to fill out these forms.

Acceptance of Appointment as Personal Representative and Oath by Individual (DHS-8348)

Affidavit of Mailing and Notice (DHS-8348A)

Certificate of Representation (DHS-8348B)

Confidential Information Form (DHS-8348C)

Renunciation of Priority for Appointment and Right to Nominate Personal Representative (DHS-8348D)

Written Statement of Claim (DHS-8348E)

Letters Testamentary (DHS-8349)

Notice and Order of Hearing on Petition for Formal Probate of Will, Determination of Heirship, Appointment of Personal Representative, and Notice to Creditors (DHS-8349A)

Order of Formal Probate of Will and of Formal Appointment of Personal Representative (DHS-8349B)

Petition for Formal Probate of Will and for Formal Appointment of Personal Representative (DHS-8349C)

Statement of Contents of Lost, Destroyed, or Otherwise Unavailable Will (DHS-8349D)

Letters of General Administration (DHS-8350)

Notice and Order of Hearing on Petition for Formal Adjudication of Intestacy, Determination of Heirship, Appointment of Personal Representative, and Notice to Creditors (DHS-8350A)

Order of Formal Adjudication of Intestacy, Determination of Heirs, and Appointment of Personal Representative (DHS-8350B)

Petition for Formal Adjudication of Intestacy, Determination of Heirs, and Formal Appointment of Personal Representative (DHS-8350C)