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Funeral Director/ Embalmer License Application: Requirements

This document is a license application for funeral directors and embalmers in Washington state. It provides instructions for applying for initial licensure or a duplicate license, including where to mail the application and supporting documents. Requirements for licensure include being at least 18 years old, having an associate's degree or completing alternative education requirements, completing an internship, and passing the licensing exam. The application collects personal and educational information, licensing history, and internship details from the applicant. By signing, the applicant agrees to abide by state laws and authorizes a background check.

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0% found this document useful (1 vote)
237 views3 pages

Funeral Director/ Embalmer License Application: Requirements

This document is a license application for funeral directors and embalmers in Washington state. It provides instructions for applying for initial licensure or a duplicate license, including where to mail the application and supporting documents. Requirements for licensure include being at least 18 years old, having an associate's degree or completing alternative education requirements, completing an internship, and passing the licensing exam. The application collects personal and educational information, licensing history, and internship details from the applicant. By signing, the applicant agrees to abide by state laws and authorizes a background check.

Uploaded by

AJHunter
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Funeral Director/Embalmer

License Application
Use this application to apply for a funeral director and/or embalmer license.
Mail your application and fee to:
Funeral and Cemetery Board
Department of Licensing
PO Box 35001
Seattle WA 98124-3401

Mail all other supporting documents to:


Funeral and Cemetery Board
Department of Licensing
PO Box 9012
Olympia WA 98507

Requirements
To qualify for a license as a funeral director or embalmer, you must:
Be at least 18 years old.
Meet at least one of the following requirements:
Have an Associate of Arts degree in Mortuary Science.
Meet the alternative education requirements below.
Have at least 5 years of active licensed experience in another state.
Complete a funeral director and/or embalmer internship.
Pass the licensing examination.

Alternative education

Funeral director
If you dont have an Associate of Arts degree in Mortuary Science, you must complete a course of at least 60 semester
or 90 quarter hours of instruction in an accredited college or university.
You must finish the instruction with a 2.0 grade point average or a grade of C or better.
The required courses must include the following:
1 course in psychology
1 course in mathematics
2 courses in English composition
2 courses in social science
3 courses in any combination of:
behavioral sciences
public speaking
counseling
business administration and management
computer science
first aid
Embalmer
If you dont have an Associate of Arts degree in Mortuary Science, you must complete a course of at least 60 semester or
90 quarter hours of instruction in an accredited mortuary science college program and other college courses. A diploma or
certificate from a mortuary school whose curriculum does not equal at least 60 semester or 90 quarter hours of instruction
does not meet Washingtons education requirements.

How to apply
1. Submit a completed Funeral Director/Embalmer License Application with a check or money order payable to the
Department of Licensing.
2. Request a certified copy of your transcript(s) be sent to our office. Only sealed transcripts sent directly from the
issuing college or university are accepted. Educational equivalents are subject to approval and must be documented
by providing a course syllabus, outline, or certificate of completion for non-academic courses.
3 Request an official copy of your National Board scores be sent to our office.
4. Reciprocity applicants only: Complete the applicant name and license number fields on the Funeral Directors/
Embalmers Verification of Out-of-State License form and send to your state of licensure. They will complete the
Certification Verification section and return the form to our office.
If you have less than 5 years of active licensed experience in another state, you must meed the education
requirements and complete steps 2 and 3.
If you have at least 5 years of active licensed experience in another state, skip steps 2 and 3.
FDE-653-002 (R/7/14)WA Page 1 of 3

Click here to START or CLEAR, then hit the TAB button

Funeral Director/Embalmer
License Application
Send this completed form and a check or money order payable to the
Department of Licensing to:

For validation only

Funeral and Cemetery Board


Department of Licensing
PO Box 35001
Seattle, WA 98124-3401
This application is for:
Funeral director license $100
Embalmer license $100
Duplicate license $25 (complete section 1 only and sign on page 2)

1. Personal information
PRINT or TYPE Name (Last, First, Middlewill appear in the proper order on your wall certificate)
Social Security number*
Used for identification. Kept on file.
42 USC 405(c)(2)(C)

Maiden name (if anywill not appear on certificate)

Date of birth (mm/dd/yyyy)

Gender

Male

Female

Mailing address
City

State

(Area code) Daytime telephone number

ZIP code

Email address

County

Would you like to be added to the Boards electronic mailing list?

Yes

No

Have you passed the National Board exams given by the International Funeral Service Examining Boards?

Yes

No

*If this application is for a business that is a sole proprietorship, the proprietor must furnish their Social Security number.

Reciprocity only
1

Current state of licensure

Profession

Date of original registration

Registration number

State where qualifying exams taken

Current state of licensure

Profession

Date of original registration

Registration number

State where qualifying exams taken

Attach additional pages if necessary.

2. Educational background
Name of college, university, technical school

Location

Dates of attendance
From - To

Degree

Applicable education and supplemental training

Location

Dates of attendance
From - To

Certificate/Degree etc.

3. Licensing and legal history


Answer the following

1. Have you ever been convicted of a felony or misdemeanor other than a traffic violation?. . . . . . . . . . . .

Yes

No

2. Has your registration been revoked, suspended, or denied in any licensing jurisdiction? . . . . . . . . . . . .

Yes

No

3. Have you received any disciplinary action in another jurisdiction?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

No

If you answered Yes to any of the above, attach an explanation on a separate 8 1/2" x 11" sheet.
FDE-653-002 (R/7/14)WA Page 2 of 3

(continued on next page)

4. Intern trainingif applicable, list any intern training you have received
1

Name of establishment

Type of internship

From (m/d/yy)

To (m/d/yy)

Address (Street, city, state, and ZIP code)


Name of licensed sponsor

Name of establishment

Type of internship

Total hours of training


From (m/d/yy)

To (m/d/yy)

Address (Street, city, state, and ZIP code)


Name of licensed sponsor

3
3

Name of establishment

Type of internship

Total hours of training


From (m/d/yy)

To (m/d/yy)

Address (Street, city, state, and ZIP code)


Name of licensed sponsor

Name of establishment

Type of internship

Total hours of training


From (m/d/yy)

To (m/d/yy)

Address (Street, city, state, and ZIP code)


Name of licensed sponsor

Total hours of training

5. Certification
Unsigned applications will not be accepted by the Board. Before signing the application, you must familiarize yourself with
the funeral director and embalmer laws and rules.
Answer the following

1. Do you agree to abide by all the applicable laws and rules regarding the practice of funeral directing
and embalming? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

No

2. Do you authorize all institutions, organizations, business associates (past and present) and any
governmental agencies (local, state, or federal) to release any information, files, or records which
may be required for a background investigation, to the Department of Licensing? . . . . . . . . . . . . . . . .

Yes

No

3. Do you understand that any false information in this application may constitute cause for the denial,
suspension, or revocation of your license to practice in the state of Washington? . . . . . . . . . . . . . . . . .

Yes

No

I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct.
Date and place


FDE-653-002 (R/7/14)WA Page 3 of 3

When you have completed this form, please print it out and sign here.

Applicant signature

We are committed to providing equal access to our services.


If you need accommodation, please call (360) 664-1555 or TTY (360) 664-0116.

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