Application Forms/Logs

Effective October 1, 2022, applications requiring a highway patrol background check will have a fee increase of $1.00. Applications received by the board and postmarked on or after October 1, 2022 will need to include the new fee of $15.00 before the application can be processed. Applications, with the new fee change, will be available on this page on or about October 1, 2022.

CEASE DOING BUSINESS:

1. Preneed Provider - Application to Cease Business
   Common Questions for Completing Application to Cease Doing Business Preneed Provider
2. Preneed Seller - Application to Cease Business
   Common Questions for Completing Application to Cease Doing Business Preneed Seller
3. Preneed Provider Affidavit
   Common Questions for Preneed Provider Affidavit
4. Preneed Seller Affidavit
   Common Questions for Preneed Seller Affidavit
5. Funeral Establishment - Application to Cease Business.
   Common Questions for Completing Application to Cease Doing Business Funeral Establishment

DISABLED LICENSE STATUS:

1. Disabled Missouri Funeral Directors License Affidavit
2. Disabled Missouri Embalmer License Affidavit
3. Disabled Missouri Funeral Directors & Embalmer License Affidavit

EMBALMER:

1. Embalmer Practicum
• Application for Embalmer Practicum Student Registration
• Instructions for Embalmer Practicum Student Registration
• Update for Embalmer Practicum Student Registration
2. Embalmer Apprentice
• Instruction for Application for Embalmer Apprentice
• Application for Embalmer's License
• If you need to change anything regarding your apprenticeship please complete the following:
• Update for Registration as an Embalmer Apprentice
3. Embalmer Reciprocity
• Instruction for Application for Embalmer by Reciprocity
• Application for Embalmer's License
• Certificate of State Endorsement
4. Attestation Form

FUNERAL DIRECTOR:

1. Funeral Director Apprentice
• Instructions for Application for Apprentice Funeral Director
• Application for Funeral Directors License
• If you need to change anything regarding your apprenticeship please complete the following:
• Update Application for Registration as a Funeral Director Apprentice
2. Funeral Director Education
• Instructions for Application for Funeral Director - Education
• Application for Funeral Directors License
3. Funeral Director Reciprocity
• Instructions for Application for Funeral Director by Reciprocity
• Application for Funeral Directors License
• Certificate of State Endorsement
4. Limited Funeral Director
• Instructions for Application for Limited Funeral Director
• Application for Funeral Directors License
5. Attestation Form

FUNERAL ESTABLISHMENT:

1. Application for Funeral Establishment License
   If you are closing or selling a funeral establishment you will need to contact the board office for the appropriate paperwork.

MILITARY AFFIDAVIT:

1. Military Affidavit Embalmer and Funeral Director
2. Military Affidavit Embalmer
3. Military Affidavit Funeral Director

MISC. FORMS:

1. Embalming Log
2. Embalming Authorization
3. Cremation Log
4. Cremation Authorization

PRENEED:

1. Application for Preneed Provider
   Common Questions for Completing Application - Preneed Provider
2. Application for Preneed Seller
   Common Questions for Completing Application - Preneed Seller

PRENEED AGENTS:

1. Preneed Agent
2. Instructions for a Preneed Agent
3. Instructions for a Preneed Agent Funeral Director

RETIRED LICENSE STATUS:

1. Retired Missouri Funeral Directors License Affidavit
2. Retired Missouri Embalmer License Affidavit
3. Retired Missouri Embalmer & Funeral Director License Affidavit