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This page was lasted updated September 22, 2008.
(* indicates added on that date)
Licensing Related, Person:
1. Address Change Form for Individuals Form (Note - If you are an active apprentice, you must submit the Transfer of Apprenticeship form (not this one!) with reissue fee(s).)
2. Apprenticeship Leave of Absence Form
3. Embalmer Apprenticeship (Only) Application See Embalmer & Funeral Service Practitioner (FSP) Apprenticeship Application if applying for both.
4. Embalmer Apprenticeship Completion Form (Application for licensure through the apprenticeship program.)
5. Embalmer Apprentice Log Sample
6. Embalmer & Funeral Service Practitioner (FSP) Apprenticeship Application
7. Embalmer & FSP Apprenticeship Completion Form (Application for licensure through the apprenticeship program.)
8. Embalmer and / or FSP Apprenticeship Transfer Request
9. Embalmer License Application (Non-reciprocal related.)
10. Embalmer License and Funeral Service Practitioner License Application (Non-reciprocal related.)
11. Embalmer & FSP License by Reciprocity Application (effective January 1, 2008)
NOTE: Reciprocity requirements will change once the new law takes effect January 1, 2008: Proof satisfactory to the Board that the applicant is licensed in good standing in another state and has practised as a funeral service practitioner or an embalmer in another state for three of the five years immediately preceeding the application date. per SB 545 Enrolled 2007 Session (Old law stated two years immediately preceeding the application date.)
12. Embalmer License by Reciprocity Application (effective January 1, 2008)
NOTE: Reciprocity requirements will change once the new law takes effect January 1, 2008: Proof satisfactory to the Board that the applicant is licensed in good standing in another state and has practised as an embalmer in another state for three of the five years immediately preceeding the application date. per SB 545 Enrolled 2007 Session (Old law stated two years immediately preceeding the application date.)
13. FSP Apprenticeship (Only) Application See Embalmer & Funeral Service Practitioner (FSP) Apprenticeship Application if applying for both.
14. FSP Apprenticeship Completion Form (Application for licensure through the apprenticeship program.)
15. FSP Apprentice Log Sample (Note that only at need arrangements will count towards completion of FSP apprenticeship.)
16. FSP License Application (Non-reciprocal related application. Note to Oregon FSP apprentice - use Form #14 above).
17. FSP License by Reciprocity Application (effective January 1, 2008)
NOTE: Reciprocity requirements will change once the new law takes effect January 1, 2008: Proof satisfactory to the Board that the applicant is licensed in good standing in another state and has practised as a funeral service practitioner in another state for three of the five years immediately preceeding the application date. per SB 545 Enrolled 2007 Session (Old law stated two years immediately preceeding the application date.)
18. Intern Apprentice Application (The intern apprenticeship certificate is only valid while a student is enrolled in the Mt. Hood Community College Funeral Service Education Internship Program.)
19. Preneed Salesperson Application (For selling trust funded pre-arrangements only.)
20. Wall Certificate Order Form
Licensing Related, Facility:
21. Initial Facility Application Process (Includes Change of Ownership application process also.)
22. Address Change Form for Facilities (To change mailing address or location of records.)
23. Applicant Facility Owner Information Sheet * (If applicant facility is owned by more than one level of ownership, this form needs to be completed and submitted for each level of ownership above level 1.)
24. Application for Change of Principal Form (Pursusant to OAR 830-040-0000(5), when there is a change in any principal of the licensed facility, the licensee shall provide the Board with the name of the proposed principal(s) on a form provided by the Board within 30 days of the change.)
25. Background Information Questionnaire (For initial or change of ownership facility applications. If facility is already licensed, use the Application for Change of Principal Form. If any of the proposed principals currently holds a personal license issued by the Board, the proposed principal does not need to submit the Background Information Questionnaire.)
26. Cemetery, Change of Ownership Application (A Background Information Questionnaire needs to be completed and attached to the cemetery application for each identified principal on the application. If any of the proposed principals currently holds a personal license issued by the Board, the proposed principal does not need to submit the Background Information Questionnaire.)
27. Cemetery, Initial Application (Please attach a completed Cemetery Licensing / Registration Questionnaire form. Note that a Background Information Questionnaire will also need to be completed and attached for each identified principal. If any of the proposed principals currently holds a personal license issued by the Board, the proposed principal does not need to submit the Background Information Questionnaire. )
28. Cemetery Guidelines
29. Cemetery Licensing / Registration Questionnaire
30. Certificate of Removal Registration (Allows FSPs employed by a licensed FE licensed in a contiguous state to remove human remains from Oregon before submitting a death certificate.)
31. Crematorium, Initial Application (A Background Information Questionnaire needs to be completed and attached to the crematorium application for each identified principal on the application. If any of the proposed principals currently holds a personal license issued by the Board, the proposed principal does not need to submit the Background Information Questionnaire.)
32. Crematorium, Change of Ownership Application (A Background Information Questionnaire needs to be completed and attached to the crematorium application for each identified principal on the application. If any of the proposed principals currently holds a personal license issued by the Board, the proposed principal does not need to submit the Background Information Questionnaire.)
33. Funeral Establishment, Change of Ownership Application (A Background Information Questionnaire needs to be completed and attached to the funeral home application for each identified principal on the application. If any of the proposed principals currently holds a personal license issued by the Board, the proposed principal does not need to submit the Background Information Questionnaire.)
34. Funeral Establishment, Initial Application (A Background Information Questionnaire needs to be completed and attached to the funeral home application for each identified principal on the application. If any of the proposed principals currently holds a personal license issued by the Board, the proposed principal does not need to submit the Background Information Questionnaire.)
35. Funeral Establishment Licensing Overview & Guideline
36. Location Change Application, Facility
37. Name Change Application, Facility
Compliance Related:
38. Embalming Authorization (Newly Revised Sample)
39. Receipt for Cremated Remains (Sample)
Unable to find a form? Please contact the Board office and request assistance.
Oregon Mortuary and Cemetery Board
800 NE Oregon Street, Suite 430
Portland OR 97232-2195
971-673-1507
971-673-1501 - fax
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