Forms

FORMS

For your convenience, the majority of our forms are in Adobe Portable Document Format (PDF). If you do not have the free Adobe Acrobat Reader application, please click the graphic to the right.

Application for Licensure (Funeral Director, Embalmer, Reciprocity)	Reactivation	Cremation
License Application	Apprentice Reactivation	Cremation Identification Form
Affidavit (Funeral Director) (Need 2)	Licensee Reactivation	Cremationist License Application
Affidavit (Embalmer) (Need 2)		Cremationist Affidavit (Need 1)
Reciprocity Certification		Cremation Log
		Crematory Registration

Continuing Education	Establishment	Sample Forms
Form CE1 Provider/Course Application	Establishment Application	Sample Casket Price (CPL)
Form CE2 Instructor Application	Mortuary Service Application	Sample Outer Burial Container Price (OBC)
	Change of Ownership Application	Sample General Price List (GPL)
	Establishment Name Change Application	Sample Embalming Log


Renewal Forms	Apprentice	Miscellaneous Forms
Special Work Permit Renewal	Apprentice Application With Background	Immigration
Apprentice Renewal Packet	Apprentice Embalmer Case Report-Evaluation	Authorizing Agent Affidavit
Establishment Renewal	Apprentice Embalmer Annual Report
Licensee Renewal	Apprentice Funeral Director Case Report-Evaluation
Mortuary Service Renewal	Apprentice Funeral Director Annual Report


Law Exam	Checklist	Managing Letters
State Law (LRR) Exam Registration	Apprentice Embalmer Checklist	Managing Cremationist Letter
State Law (LRR) Exam Procedures	Apprentice Funeral Director Checklist	Managing Embalmer Letter
Cremationist Study Guide	Cremationist Checklist	Managing Funeral Director Letter
	Funeral Director Checklist
	Embalmer Checklist
	Reciprocity Checklist


Background Check
ALEA Application
Notice of Disclosure Privacy Statement
Background Check Letter