Complaint Form
Provisional Applications
Use the expedited/secure online application payment process to apply for the provisional license(s)
Click here and set up your free online account:
After setting up your account, you will be able to apply for the provisional license(s); upload the required documents, and pay the required application fees.
Provisional "Educational Waiver" Applications
Provisional Funeral Director Educational Waiver Application
Provisional Embalmer Educational Waiver Application
Provisional Forms
Provisional Supervisor CE Application
Provisional Licensee Reporting Form
Provisional Funeral Director Task List
Provisional Embalmer Task List
Provisional Licensee Form to Change/Add Employment
Provisional Duplicate License Application
Provisional Renewal Application
Provisional Renewal Application
Reciprocal Licensing Forms
Reinstatement Licensing Forms
Individual Reinstatement Application Packet
Renewal of Individual License Forms
Active Individual Renewal Application
Inactive Individual Renewal Application - Only for licensees that are 65+ years of age or considered 75% disabled (must have supporting docs on file).
Individual Licenseing Forms
Individual Duplicate License Application
License Verification Forms
License Verification Application
Out-of State License Verification Form
Criminal Conviction Questionnaires for Indivduals
Criminal Conviction Questionnaire for Current Licensees
Criminal Conviction Questionnaire for Applicants
Criminal Conviction Evaluation - Prior to Application
Continuing Education Forms
Application for CE Credit for Provisional Licensee Supervision
CE Provider Renewal Application
Continuing Education Requirements
New Establishment License Forms
Funeral Establishment Application
Funeral Establishment Ownership Amendment Form
Commercial Embalming Facility Application
Commercial Embalming Facility Renewal
Commercial Embalming Ownership Amendment Form
Crematory Ownership Amendment Form
Other Forms for Establishments
Late Crematory Annual Report Fee
TFSC Establishment Renewal Application
Establishment Duplicate License Application
FDIC Appointment/Removal Forms
Preparation Room Exemption Application
Authorization to Embalm (Required Form)
Authorization to Embalm in Spanish (Required Form)
Embalming Case Report (Suggested Form)
Brochure/Mailing List Order Form