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
Funeral Supervisor Registration Application
Internship Report Form(s)-1st 1000 hrs
Internship Report Form(s)-2nd 1000 hrs
Internship Report Form(s)-3rd 1000 hrs
Funeral Service Intern Hours - Attestation Form - 1st, 2nd and 3rd Report
Application for Change of Supervisor - Funeral Service Internship Program
Courtesy Card
Establishment Forms
Application for Crematory Registration
Application for Surface Transportation and Removal Service
Application for Notification of Establishment Changes
Establishment Application (New Establishment or Branch Establishment)
Application for Waiver of Full-Time Manager Requirement
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)
CEU Provider Request for Additional Courses
Continuing Education Provider Renewal Application
Reinstatement
Application for Reinstatement as a Funeral Service Provider
Application for Reinstatement as a Funeral Service Intern
Application for Reinstatement of Funeral Establishment
Continuing Competency
Continued Competency Activity and Assessment form