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
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 (pdf file)
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 - rev. 09/11/2009
Application for Surface Transportation and Removal Service
Application for Notification of Establishment Changes - rev. 04/09/2009
Establishment Application (New Establishment or Branch Establishment)
Application for Waiver of Full-Time Manager Requirement - rev. 02/02/2009
Application for Renewal for Waiver of Full-Time Manager Requirement
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
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