REGULATIONS
Vol. 37 Iss. 12 - February 01, 2021

TITLE 18. PROFESSIONAL AND OCCUPATIONAL LICENSING
BOARD OF FUNERAL DIRECTORS AND EMBALMERS
Chapter 20
Forms

REGISTRAR'S NOTICE: Forms used in administering the regulation have been filed by the agency. The forms are not being published; however, online users of this issue of the Virginia Register of Regulations may click on the name of a form with a hyperlink to access it. The forms are also available from the agency contact or may be viewed at the Office of the Registrar of Regulations, 900 East Main Street, 11th Floor, Richmond, Virginia 23219.

Title of Regulation: 18VAC65-20. Regulations of the Board of Funeral Directors and Embalmers).

Agency Contact: Elaine Yeatts, Agency Regulatory Coordinator, Department of Health Professions, 9960 Mayland Drive, Henrico, VA 23233, telephone (804) 367-4688, FAX (804) 527-4434, or email elaine.yeatts@dhp.virginia.gov.

FORMS (18VAC65-20)

Funeral Service Licensee Application (rev. 3/2018)

Application for Reinstatement as a Funeral Service License (rev. 3/2018)

Verification of State Licensure Form (rev. 3/2018)

Courtesy Card Application (rev. 3/2018)

Surface Transportation and Removal Services Application (rev. 3/2018)

Crematory Registration Application (rev. 9/2018)

Continuing Education Provider Application (rev. 3/2018)

Continuing Education Summary Form (rev. 8/2016)

Continuing Education Provider Application for Approval of Additional Courses (rev. 3/2018)

Continuing Education Provider Renewal Form (rev. 3/2018)

Continuing Education Credit for Volunteer Practice (rev. 2/2018)

Funeral Service Establishment Application (rev. 9/2018)

Branch Establishment Application (rev. 9/2018)

Application for Notification of Establishment Changes (rev. 9/2018)

Application for Change of Manager - Funeral Establishment (rev. 3/2018)

Request for Reinspection - Structural Change of Establishment (rev. 3/2018)

Waiver of Full-Time Manager Application (rev. 7/2019)

Application for Reinstatement Funeral Service Establishment (rev. 3/2018)

Application for Reinstatement of Courtesy Card (rev. 3/2018)

Checklist and Instructions for Funeral Service Licensee (rev. 7/2020)

Funeral Service License Reinstatement Application (rev. 7/2020)

Request for Verification of a Virginia Funeral License (rev. 11/2019)

Checklist and Instructions for Courtesy Card Application (rev. 8/2020)

Checklist and Instructions for Surface Transportation and Removal Service Registration Application (rev. 7/2020)

Checklist and Instructions for Crematory Registration Application (rev. 7/2020)

Checklist and Instructions for Continuing Education Providers (rev. 7/2020)

Instructions for Completing the Continuing Education Summary Form for The Virginia Board of Funeral Directors and Embalmers (rev. 8/2016)

Instructions for Continuing Education Providers Adding Additional Courses (rev. 3/2018)

Continuing Education (CE) Credit Form for Volunteer Practice (rev. 7/2020)

Continued Competency Activity and Assessment Form (rev. 7/2012)

Funeral Service New Establishment Application (rev. 7/2020)

Funeral Service Establishment/Branch Application (rev. 7/2020)

Funeral Service Establishment/Branch Change Application (rev. 7/2020)

Funeral Establishment or Branch Change of Manager Application (rev. 3/2018)

Request for Reinspection due to Structural Change to Preparation Room (rev. 7/2020)

Waiver of Full-Time Manager (rev. 7/2020)

Funeral Service Establishment Reinstatement Application (rev. 7/2020)

Courtesy Card Reinstatement Application (rev. 7/2020)

Appendix I. General Price List (rev. 10/2019)

Appendix II. Casket Price List, Outer Burial Container Price List (rev. 10/2019)

Appendix III. Itemized Statement of Funeral Goods and Services Selected (rev. 10/2019)

VA.R. Doc. No. R21-6630; Filed January 05, 2021