Applications and Forms
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License/Permit Renewals
Applications
Chapel Renewal Application (fillable BFS 57(r))Courtesy Card Renewal Application (fillable BFS 37(r))
Crematory Establishment Renewal Application (fillable BFS 52(r))
Crematory Manager Permit Renewal Application (fillable BFS 51(r))
Funeral Establishment Renewal Application (fillable BFS 17(r))
Hydrolysis Licensee Renewal Application (fillable BFS 54(r))
Hydrolysis Manager Renewal Application (fillable BFS 53(r))
Individual License Renewal Application (fillable BFS 12(r))
Preneed Funeral Establishment Renewal Application (fillable BFS PN-3(r) / PN-3A)
Provisional License Renewal Application (fillable BFS-12(b))
Removal and Transportation Permit Renewal Application (fillable BFS 60(r))
Unaffiliated Practice Permit Renewal Application (fillable BFS 61(r))
Establishment/Unaffiliated/Chapel
New Establishment
New Funeral Establishment Application Check-ListApplication for Funeral Establishment Permit (fillable BFS-17(a))
Location Change
Application for Change of Location of Funeral EstablishmentUnaffiliated
New Unaffiliated Permit Application Check-ListApplication for Unaffiliated Practice Permit (fillable BFS-61(a))
Chapel
New Chapel Application Check-ListApplication for Chapel Permit (fillable – BFS-57(a))
Waiver – Practicing during Disasters
Request for Temporary Waiver of Funeral Establishment Permit Requirements During Declared State of Emergency (Per 21 NCAC 34B .0617)Waiver – Practicing during Emergencies
Request for Temporary Waiver of Funeral Establishment Permit Requirements During Emergency Occurrence (Per 21 NCAC 34B .0618)Preneed
Applications
New Preneed Funeral Establishment Check-List
New Preneed Funeral Establishment Application
Preneed Funeral Establishment License Bond
Schedule A Form – Application for Individual Preneed Sales License
Contract to Share Individual Preneed Sales Licensees
Insurance Funded Preneed Funeral Contracts
Standard Insurance Preneed Funeral Contract & SGSS
Inflation-Proof Insurance Preneed Funeral Contract & SGSS
TRUST FUNDED PRENEED FUNERAL CONTRACTS
Standard Trust Preneed Funeral Contract & SGSS
Inflation-Proof Trust Preneed Funeral Contract & SGSS
CERTIFICATE OF PERFORMANCE
Certificate of Performance ("COP") (9/2019)
COP – Inflation-Proof Calculator (3/2024)
COP – IP Calculator Instructions
REQUEST FOR BOARD TO PROVIDE COPY OF PRENEED CONTRACT
Request for Copy or Copies of Preneed Contract Documents
MISCELLANEOUS FORMS AND SAMPLE LETTERS
Individual Preneed File Check-ListInsurance Company Request – Policy Owner Release of Information
Insurance Company Request – Funeral Home Requests Year End Policy Status Information
Procedures for Amending Previously Filed Preneed Funeral Contracts
Procedures for Revoking an Irrevocable Preneed Funeral Contract
Cremation
CREMATORY LICENSEE APPLICATIONS
New Crematory Licensee Application Check-List
Application for Crematory Licensee Permit
Application for Crematory Manager Permit
AUTHORIZATIONS AND WAIVER OF 24 HOUR WAITING PERIOD
Model – Standard Cremation Authorization Form
Medical Examiner’s Authorization for Cremation Form
Form 56E1 – Authorization for Cremation of Amputated Body Parts
Form 56F1 – Confirmation of Fetal Death for Cremation
Form 55A – Waiver of Waiting Period for Cremation
RECORDS OF RECEIPT AND DELIVERY
Form 56G1 – Consolidated Receipts (56 A1,B1, & C1) (9/2019)
Form 56A1 – Receipt of Human Remains by Crematory Licensee (9/2019)
Form 56B1 – Record of Cremation by Crematory Licensee (9/2019)
Form 56C1 – Delivery of Cremated Remains from Crematory Licensee (9/2019)
Form 56D1 – Delivery of Cremated Remains from Funeral Provider (9/2019)
MONTHLY REPORT
Model – Monthly Cremation Report
CREMATION FILE CHECK-LIST
Individual Cremation File Check-ListEmbalming Facilities
New Embalming Facility Application Check-ListApplication for Embalming Facility Permit
Miscellaneous
NCBFS REQUEST FOR DECLARATORY RULING
Form DR-1 – Request for Declaratory Ruling
NCBFS PUBLIC RECORDS REQUEST
Request for Review of Public Records
OCME – AUTHORIZATION FOR RELEASE OF REMAINS
Individual Licenses
Applications
Application for Courtesy Card (fillable BFS-37(a))Application for Individual License (fillable BFS-12(a))
Application for Reciprocal Licensure (fillable BFS-34)
Verification of Licensure for Reciprocal Application (fillable)
Application for Removal and Transportation Permit (fillable BFS-60(a))
Application for Active Military Status (fillable)
Provisional License Application (fillable BFS-12(b))
Applicant Information
Use of Criminal History RecordsPredetermination Form
Exam Registration
North Carolina Laws and Rules ExaminationNational Board Examination
North Carolina Pathology Examination
North Carolina State Board Examination
Continuing Education
Instructions
Instructions: Continuing EducationGuidelines
Continuing Education Content GuidelinesApplications
Application for Continuing Education Provider Approval (BFS CE-1)Application for Course Approval (BFS CE-2)
Application for Instructor Approval (BFS CE-3)
Reports
Continuing Education Class Report (BFS CE-4)Continuing Education Program Schedule Submission Form (BFS CE-5 / BFS CE-5A)
Traineeship
Applications
Application for Registration as Resident Trainee in Funeral Directing (BFS-7)Application for Registration as Resident Trainee in Embalming (BFS-8)
Application for Registration as Resident Trainee in Funeral Service (BFS-9)
New Work Reports
Resident Trainee Work Report – Funeral Directing (BFS-27-FD)
Resident Trainee Work Report – Embalming (BFS-27-EM)
Resident Trainee Work Report – Funeral Service (BFS-27-FS)
Work Reports and Checklists
Resident Trainee Work Report – Funeral Directing (BFS-27-FD)Resident Trainee Work Report – Funeral Directing (Reference Guide)
Resident Trainee Work Report – Embalming (BFS-27-EM)
Resident Trainee Work Report – Embalming (Reference Guide)
Resident Trainee Work Report – Funeral Service (BFS-27-FS)
Resident Trainee Work Report – Funeral Service (Reference Guide)
Resident Trainee Funeral Directing Checklist
Resident Trainee Embalming Checklist
Affidavits
Affidavit of Competency for Resident Traineeship Funeral DirectingAffidavit of Competency for Resident Traineeship Embalming
Affidavit of Competency for Resident Traineeship Funeral Service
Affidavit to Certify Resident Traineeship – Funeral Directing (BFS-10B)
Affidavit to Certify Resident Traineeship – Embalming (BFS-10C)
Affidavit to Certify Resident Traineeship – Funeral Service (BFS-10A)
Employment Supervision
Change in Employment for Resident Traineeship (BFS-11)Trainee and Trainee Supervisor Verification
Approved Activities for Resident Trainees
Alkaline Hydrolysis
HYDROLYSIS LICENSEE APPLICATIONS
New Hydrolysis Licensee Check-List
Application for New Hydrolysis Licensee Application
Application for Hydrolysis Manager Permit
AUTHORIZATIONS AND WAIVER OF 24 HOUR WAITING PERIOD
Model – Standard Alkaline Hydrolysis Authorization FormMedical Examiner’s Authorization for Cremation
Form BFS 56F2 – Confirmation of Fetal Death for Alkaline Hydrolysis
Form 55B – Waiver of Waiting Period for Alkaline Hydrolysis
RECORDS OF RECEIPT AND DELIVERY
Form 56G2 – Consolidated Receipts (56 A2, B2, & C2) (9/2019)
Form 56A2 – Receipt of Human Remains by Hydrolysis Licensee (9/2019)
Form 56B2 – Record of Alkaine Hydrolysis by Hydrolysis Licensee (9/2019)
Form 56C2 – Delivery of Hydrolyzed Remains from Hydrolysis Licensee (9/2019)
Form 56D2 – Delivery of Hydrolyzed Remains from Funeral Provider (9/2019)
MONTHLY REPORT
Model – Monthly Alkaline Hydrolysis ReportHYDROLYSIS FILE CHECK-LIST
Individual Hydrolysis File Check-ListMutual Burial Associations
MBA Annual Report FormMBA Certificates of Credit – Accepting Funeral Establishments