Harkins Funeral Home: Serving Delta, PA - vaults, caskets, cremation, cemeteries, funerals, urns

Today, more people are recognizing that planning a funeral in advance of need demonstrates love and consideration toward their family members. It is a thoughtful decision that reduces the stress of indecision and uncertainty when death occurs.

Why do people pre-arrange a funeral service for themselves or a family member?
There are many good reasons. Some plan ahead because there will be no one who is capable of making responsible decisions. Others have definite preferences concerning their funeral service, and they want their families to be informed and involved in those decisions.

Many people pre-arrange because they like the peace of mind knowing there will be adequate funds to cover funeral expenses. Also pre-payment can provide real benefits when you are applying for Medicaid in the U.S.

Most importantly, pre-arrangement guarantees that rational decisions can be made ahead of time without the usual urgencies when death takes place.

How is Pre-Planning Done?
Our funeral home staff member will meet with you at a time that is convenient, and assist you in recording your wishes. You choose everything you want for your funeral: the type of funeral service, casket, burial vault, music, and flowers. Important obituary information will be recorded. Once you have made your selections, you will learn the payment options available to you. A record of your selections will be kept on file at the funeral home until needed.

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Information about person completing the form:
I am Planning for:
Last Name:
First Name:
Middle Name:
E-mail:
Street Address:
City:
County:
State:
Zip Code:
Phone:

Vital Information about the person you are planning for:
Last Name:
First Name:
Middle Name:
Sex:
Marital Status:
Social Security#:
Date of Birth:	(ex. 1999)
Place Of Birth:
Spouse's Full Name:
Spouse's Maiden Name:
Place of Marriage:
Date of Marriage:	(ex. 1999)
Father's Full Name:
Mother's Name:
Mother's Maiden Name:

Work and Education:
Education:
Usual Occupation: (most of life)
Kind of Business:
Company (Optional):

Military Records:
Branch of Service:
Serial Number:
Date Enlisted:
Rank At Discharge:
Date Discharged:
Discharge On File At:
Copy of Discharge Papers: YES NO
Name Of Wars:

Funeral Service Information:
Place Of Service:
Name of Funeral Home:
Address:
Phone:
Place of Visitation:
I Prefer The Funeral Service To Be:
Viewing For Family:
Viewing For Friends:
Religious Denomination:
Place Of Worship:
Lodge / Union:

Person(s) To Finalize Arrangements At Time Of Death:
Check here and skip this section if is information is the same as person filling out this form

Full Name:
Street Address:
City:
County:
State:
Zip Code:
Phone:

Special Instructions:
Flower Preference:
Music
Casket Bearers (6):
Jewelry:
Glasses:
Clothing:
Other:

Disposition Options:
I Prefer:
Cemetery:
Address:
Phone:
Section:
I have made a last will and testament: YES NO

Other Information & Special Instructions
Please list any other instruction or information you would like us to have:

Memorials & Charities
Please list any Memorials or Donations to Charity that you would like:

Please select one of the options below:

Send information about pre-arrangement

Contact me to set an appointment

Please keep my information on file

harkinsfhinc@aol.com