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How to Apply for Assistance

Complete the Harkins Community Memorial Foundation 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 Foundation,
c/o Rockford Park District Foundation
401 South Main Street
Rockford, Illinois 61101
Fax: 815-987-1671

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

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