The Immaculate Heart
of Mary Parish
Dushore, Pa

The Catholic Community of Sullivan County Pennsylvania

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Funeral Records

- Funeral Records (For local funeral home officials only)
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  Name of Deceased REQUIRED Please fill out this field. Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Death REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Burial REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Burial REQUIRED Please fill out this field. Please enter valid data.
  
  Arrangements Made By: REQUIRED Please fill out this field. Please enter valid data.
  
  Type of Service REQUIRED Funeral Mass Service at the Funeral Home Graveside Service N/A Please fill out this field.
  
  Next of Kin Information
  
  Name of Nearest Relative REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field. Please enter valid data.
  
  Zip Code REQUIRED Please fill out this field. Please enter valid data.
  
  Submit