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Division Director

Doug Shropshire

Assistant Director

Ellen Simon


Funeral, Cemetery and Consumer Services
200 East Gaines Street
Tallahassee, FL 32399-0361
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Forms

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Cemetery

  • Financial Statement (DFS-F-32)
    MSWord | Adobe PDF
  • Performance Bond (DFS-F-43)
    MSWord | Adobe PDF
  • Historical Sketch (DFS-HistS)
    MSWord | Adobe PDF

     

    Preneed

  • Preneed License Annual Financial Statement (DFS-PNL-R2)
    MSWord | Adobe PDF
  • Preneed License Annual Renewal Statement (DFS-PNL-R3)
    MSWord | Adobe PDF
  • Financial Statement (DFS-F-32)
    MSWord | Adobe PDF
  • Surety Bond (DFS-C2)
    MSWord | Adobe PDF
  • Letter of Credit/Surety Bond Claim Form (DFS-C3)
    MSWord | Adobe PDF
  • Quarterly Preneed Remittance Invoice
    MSWord | Adobe PDF
  • Preneed Funeral and Cemetery Arrangements Brochure (DFS-N1-1729)
    MSWord | Adobe PDF

     

    Board Appointment

  • Board Appointment (DFS-N1-1701)

    Course of Study

  • Application for approval of a course of study (DFS-N1-2041)
    MSWord | Adobe PDF
  • Reports

  • Funeral establishment (DFS-N1-1751)
    MSWord | Adobe PDF
  • Direct disposal establishment (DFS-N1-1752)
    MSWord | Adobe PDF
  • Cinerator facility (DFS-N1-1753)
    MSWord | Adobe PDF
  • Centralized embalming facility (DFS-N1-1754)
    MSWord | Adobe PDF
  • Trustee's Report - Preconstruction Trust Fund (DFS-N1-1730)
    MSWord | Adobe PDF
  • Trustee's Report - Care and Maintenance Trust Fund (DFS-N1-1731)
    MSWord | Adobe PDF

     

    Change Of Information

  • Change of address/contact data, Individuals (DFS-N1-1704)
    MSWord | Adobe PDF
  • Change of Mailing Address or Contact Data, Entities (DFS-N1-1705)
    MSWord | Adobe PDF
  • Change of Funeral Director/Direct Disposer in charge (DFS-N1-1743)
    MSWord | AdobePDF
  • Change of name & request for revised license certificate, Individuals (DFS-N1-1765)
    MSWord | Adobe PDF
  • Change of name & request for revised license certificate, Entities (DFS-N1-1764)
    MSWord | Adobe PDF
  • Notice of Change in Location of Funeral Establishment (DFS-N1-2001)
    MSWord | Adobe PDF
  • Notice of Change in Location of Cinerator Facility (DFS-N1-2002)
    MSWord | Adobe PDF
  • Notice of Change in Location of Direct Disposal Establishment
  • (DFS-N1-2003)
    MSWord | Adobe PDF

     

    Duplicate License

  • Duplicate license request Individuals (DFS-N1-1766-A)
    MSWord | Adobe PDF
    Entities (DFS-N1-1766-B)
    MSWord | Adobe PDF

     

    Continuing Education

  • You must submit Applications for Continuing Education Course approval and Provider Status approval online at; https://facs.fldfs.com/public/pb_index.asp

     

    Intern & Apprentice Reports

  • Supervisor’s Qtr’ly training report (DFS-N1-1747)
    MSWord | Adobe PDF
  • Notice of Termination/Change of Supervisor (DFS-N1-1734)
    MSWord | Adobe PDF
  • Certification of General Supervision of Intern (DFS-N1-2039)
    MSWord | Adobe PDF
  • Application to Renew Funeral Director Internship to Continue Course of Study (DFS-N1-2036)
    MSWord | Adobe PDF

  • Application to Renew Internship Due to Illness, Hardship, or Awaiting Results (DFS-N1-2037)
    MSWord | Adobe PDF

     

    Forms Used with Applications

    • Application to purchase Florida Law & Rules Exam, study guide (DFS-N1-1711)
      MSWord | Adobe PDF
  • Florida Law & Rules Exam, application to retake (DFS-N1-1712)
    MSWord | Adobe PDF
  • Business Entity - List of Principals (DFS-N1-1718)
    MSWord | Adobe PDF
  • Adverse Licensing Action History Form (DFS-N1-1715)
    MSWord | Adobe PDF
  • Criminal History Form (DFS-N1-1716)
    MSWord | Adobe PDF
  • Other Licenses Form (DFS-N1-1717)
    MSWord | AdobePDF
  • Certification of Licensure in good standing in another state (DFS-N1-1742)
    MSWord | Adobe PDF
  • Endorsement licenses – continued (used with applications for license by endorsement) (DFS-N1-1710)
    MSWord | Adobe PDF
  • Certificate of High school graduation (DFS-N1-1714)
    MSWord | Adobe PDF
  • Other licensing examinations (used with applications) (DFS-N1-1709)
    MSWord | Adobe PDF
  • Election of Procedures for Removal of Cremated Remains and Postcremation Processing (DFS-N1-1770)
    MSWord | Adobe PDF
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