How to Apply for Assistance

Complete the Harkins Community Memorial Fund Funeral Assistance Application form.  Click Here for "printer friendly"  Application form.

What to bring or include with the application
Proof of custody of the deceased child ( birth certificate or guardianship paperwork ).
Proof of family or guardianship residency of Winnebago County, Illinois.
( utility bill, drivers license, voters registration card, etc. )
Current verification of eligibility for government subsidy programs.
( correspondence, identification cards, etc. )

Fax, mail or deliver to:
Harkins Community Memorial Fund,
315 N.Church St.
Rockford, Illinois 61101
Fax: 815-966-8720

Please Note: The Harkins Community Memorial Fund reserves the right to deny applications for any reason. All decisions of the Fund Board are final.

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