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Board of Funeral Directors and Embalmers
Forms

The below documents are in Microsoft Word format. If you do not have Microsoft Word, you can get the Microsoft® Word Viewer 97/2000 to view and print DHP's documents.

Funeral Service Licensee

Checklist for Completing an Application for a License to Practice Funeral Service

Application for a License to Practice Funeral Service

Verification of State Licensure Form

Funeral Service Intern

Checklist for Funeral Service Internship Program

Application for Funeral Service Internship Program

Supervisor Registration Application

First 1000 Hour Internship Report

Second 1000 Hour Internship Report

Third 1000 Hour Internship Report

Application for Change of Supervisor - Funeral Service Internship Program

Courtesy Card

Application for Courtesy Card - rev. 03/19/2008

Establishment Forms

Application for Crematory Registration

Application for Surface Transportation and Removal Service

Application for Notification of Establishment Changes - rev. 07/31/2008

Establishment Application (New Establishment or Branch Establishment)

Application for Waiver of Full-Time Manager Requirement - rev. 07/31/2008

Application for Renewal for Waiver of Full-Time Manager Requirement

 

Continuing Education Forms

Application for Approval as a Continuing Education Provider

Continuing Education Experience Summary Form (includes instructions) - rev. 7/2007

Reinstatement

Application for Reinstatement as a Funeral Service Provider

Application for Reinstatement as a Funeral Service Intern

Application for Reinstatement of Funeral Establishment

APPENDIX

APPENDIX I - General Price List - rev. 07/2007

APPENDIX II - Casket Price List, Outer Burial Container Price List - rev. 07/2007

APPENDIX III - Itemized Statement of Funeral Goods and Services Selected - rev. 07/2007