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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 Provider

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

Funeral Service Provider Application - revised 11/29/2012

Verification of State Licensure Form

Funeral Service Intern

Checklist for Funeral Service Internship Program

Application for Funeral Service Internship Program - revised 11/29/2012

Funeral Supervisor Registration Application - revised 11/29/2012

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 - revised 11/29/2012

Courtesy Card

Application for Courtesy Card - revised 11/29/2012

Establishment Forms

Application for Crematory Registration - revised 11/29/2012

Application for Surface Transportation and Removal Service - revised 11/29/2012

Application for Notification of Establishment Changes - revised 11/29/2012

Establishment Application (New Establishment or Branch Establishment) - revised 11/29/2012

Application for Waiver of Full-Time Manager Requirement - revised 11/29/2012

Application for Renewal for Waiver of Full-Time Manager Requirement - revised 11/29/2012

Application for Change of Manager - revised 11/29/2012

Request for Reinspection due to Structural Change to Preparation Room - revised 11/29/2012

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 - revised 11/29/2012

Application for Reinstatement as a Funeral Service Provider after Suspension - revised 11/29/2012

Application for Reinstatement as a Funeral Service Provider after Revocation - revised 11/29/2012

Application for Reinstatement as a Funeral Service Intern - revised 11/29/2012

Application for Reinstatement of Funeral Establishment - revised 11/29/2012

Continuing Competency

Continued Competency Activity and Assessment form