PLANNING DETAILS FORM
Hile Funeral Home Inc.
802 Grove Street
P.O. Box 156
St. Petersburg, PA 16054
Phone: 724-659-2996
Larry Hildebrand, Supervisor
Hile Funeral Home Inc.
1204 Kerr Avenue
P.O. Box 476
Emlenton, PA 16373
Phone: 724-867-0023
Megan P. Levy, Supervisor
Hile Funeral Home
339 Chicora Fenelton Rd
P.O. Box 262
Chicora, PA 16025
Phone: 724-445-7500
Christopher M. Hile, F.D.
Hile Funeral Home
128 Main Street
PO Box 262
Karns City, PA 16041
Phone: 724-756-0075
Christopher M. Hile, Supervisor
This form is provided as a free-form list of information that you may wish to provide as you initiate the
planning process. Please download this form below. When you are done entering details, please save
and attach it to an email and it to us at funerals@hilefh.com. Please call us at the funeral home to confirm
the receipt of your form.
CONTACT INFORMATION
Full Name:
Street Address:
City:
State:
Zip:
Telephone:
Alt. Telephone:
Email:
ABOUT THE PERSON - FAMILY
Planning For:
Person Is:
Mother's Name:
Mother's Maiden Name:
Father's Name:
Spouse's Name:
Spouses’ Maiden Name:
Person's Heritage:
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PLANNING DETAILS FORM
ABOUT THE PERSON - LIFE DATES
Date of Birth:
Place of Birth:
Date of Marriage:
Place of Marriage:
Significant Dates:
Immediate Family, Living:
Immediate Family, Predeceased:
ABOUT THE PERSON - EDUCATION
High School:
Year Graduated:
College:
Year Graduated:
Degree:
Other Details:
ABOUT THE PERSON - MILITARY
Service Branch:
Date Enlisted:
Date Discharged:
Rank at Discharge:
Years of Service:
Service Location:
War Service:
Other Details:
ABOUT THE PERSON - CAREER
Occupation:
Business or Industry:
Company or Employer:
Job Title:
Other Details:
ABOUT THE PERSON - PLACES
Places Lived:
Places Visited:
Places Frequented, Favorite Places:
Affiliations, Associations, Memberships, Organizations:
Other Details:
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PLANNING DETAILS FORM
MEMORIAL INSTRUCTIONS
Public or Private Viewing/Visitation:
Service Location:
Clergy to Officiate:
Religion:
Place of Worship:
Transportation for Family and Guests, Funeral Procession Lineup:
Other Instructions, note any memorial or charitable donation you wish:
MEMORIAL WISHES
Favorite Literature, Poems Passages of Scripture:
Musical Selections (Played, Sung, Other):
Favorite Flowers, Flower Color, Arrangements:
Pallbearer Names:
Clothing, Glasses, or Jewelry:
Items for a Memento Display:
Other Wishes:
FINAL DISPOSITION
Cemetery:
Cemetery Address:
Plot Owner:
Last Will/Testament:
Final Disposition: Ground Interment
Other Instructions, is there a pacemaker or prosthesis:
PERSON TO FINALIZE ARRANGEMENTS
Full Name:
Street Address:
City/State/Zip:
Telephone: Alt. Telephone: Email:
Relationship to the Person:
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