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Arrangement Form

Arrangement Form

If a death has occurred please contact us directly at 724-479-9422

Whether it was expected or not, we understand how difficult the loss of a love one is. Although the coming days will be stressful and challenging, our staff of caring and knowledgeable funeral directors will be here to assist you in any way that we can. We strive to make the arrangement process easy and straightforward for you and your family.

One of the first questions you will be asked is if you have already pre-arranged. If so, this makes the process easier, and the funeral director can begin coordinating staff to assist you.

If you have not arranged a service, initial information must be gathered to start organizing the service and completing necessary paperwork. Please take a few moments to fill out the online funeral arrangement form provided below. While it may be difficult, we ask that you try to provide us with as much information as possible for the Pennsylvania Department of Health. Doing so will help us better understand who your loved one was and also allow us to begin the arrangement process and completion of necessary documents.

Once these initial questions have been asked, the funeral director will contact you to complete the arrangements by email. Please know that should you have any questions or concerns; please do not hesitate to contact us.

Arrangement Information

Personal Information of the Deceased 

Indicate type of work done during most of life - Do Not Use Retired
(e.g. coal industry, auto industry, manufacturing, foodservice, education)

Cemetery Information

(if applicable)
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Veteran Information

(if applicable)
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Physician Information/Preparation Information

Funeral Details

Personal information of person legally responsible for disposition

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