 |
Florida Administrative Code (Last Updated: October 28, 2024) |
 |
69. Department of Financial Services |
|
69K. Division of Funeral, Cemetery, and Consumer Services |
|
69K-1. General Application And Licensure Requirements |
1The following forms are hereby adopted and incorporated by reference and can be obtained from the Department by writing to the Department of Financial Services, Division of Funeral, Cemetery, and Consumer Services, 200 East Gaines Street, Tallahassee, Florida 32399-0361, 40by logging on to the Department’s website at http://www.myfloridacfo.com/Division/funeralcemetery/, 49or by telephoning (850)413-3039:
53(1) DFS-PNL-1, “Application for Preneed License,” Rev. 08/16
62http://www.flrules.org/Gateway/reference.asp?No=Ref-0996864.
65(2) DFS-HistS, “Historical Sketch,” Rev. 08/16
72http://www.flrules.org/Gateway/reference.asp?No=Ref-0996674.
75(3) DFS-PNLB, “Application for Preneed Branch Office License,” Rev. 08/16
86http://www.flrules.org/Gateway/reference.asp?No=Ref-0996788.
89(4) DFS-PNLT1, “Application for Transfer of a Preneed License,” Rev. 08/16
101http://www.flrules.org/Gateway/reference.asp?No=Ref-09965103.
104(5) DFS-PNS-1, “Preneed Sales Agent Application for Agent License and Initial Appointment,” Rev. 10-06.
119(6) DFS-CEMN, “Application to Organize a New Cemetery Company,” Rev. 10-06.
131(7) DFS-F-32, “Financial Statement,” Rev. 10-06.
138(8) DFS-CEM, “Application to Transact Cemetery Business,” Rev. 10-06.
148(9) DFS-F-35, “Application for Authority to Acquire Control of an Existing Cemetery Company,” Rev. 10-06.
164(10) DFS-F-43, “Performance Bond,” Rev. 10-06.
171(11) DFS-C-3, “Surety Bond Claim Form,” Rev. 11/18.
180http://www.flrules.org/Gateway/reference.asp?No=Ref-11117
182(12) DFS-TFD-1, “Preneed Funeral Contract Consumer Protection Trust Fund Proof of Claim and Disbursement Request,” Rev. 10-06.
200(13) DFS-N1-1702, “203Cemetery Renewal,” Eff. 10-06.
208(14) DFS-N1-1703, “211Exempt Cemetery Renewal,” Eff. 10-06.
217(15) DFS-N1-1704, “220Change of Address or Contact Data – Individuals,” Eff. 10-06.
231(16) DFS-N1-1705, “234Change of Address or Contact Data – Entities,” Eff. 10-06.
245(17) DFS-N1-1706, “248Application for Embalmer License by Internship and Examination,” Eff. 10-06.
259(18) DFS-N1-1707, “262Application for Embalmer License by Endorsement,” Eff. 10-06.
271(19) DFS-N1-1708, “274Application for Embalmer Intern License,” Rev. 28108/16
282http://www.flrules.org/Gateway/reference.asp?No=Ref-09960284.
285(20) DFS-N1-1709, “288Other Licensing Examinations,” Eff. 10-06.
294(21) DFS-N1-1710, “297Endorsement Licenses – Continued,” Eff. 10-06.
304(22) DFS-N1-1712, “307Application to Re-Take Florida Law & Rules Exam,” Eff. 10-06.
318(23) DFS-N1-1713, “321Miscellaneous Applications,” Eff. 10-06.
326(24) DFS-N1-1714, “329Certification of High School Graduation,” Eff. 10-06.
337(25) DFS-N1-1715, “340Adverse Licensing Action History Form,” Eff. 10-06.
348(26) DFS-N1-1716, “351Criminal History Form,” Eff. 10-06.
357(27) DFS-N1-1717, “360Other Licenses Form,” Eff. 10-06.
366(28) DFS-N1-1718, “369Business Entity – List of Principals,” Eff. 10-06.
378(29) DFS-N1-1719, “381Mortuary Science Course Information Form,” Eff. 10-06.
389(30) DFS-N1-1720, “392Application for Funeral Director License by Internship and Examination,” Eff. 10-06.
404(31) DFS-N1-1721, “407Application for Funeral Director License by Endorsement,” Eff. 10-06.
417(32) DFS-N1-1722, “420Application for Funeral Director Intern License,” Rev. 42808/16
429http://www.flrules.org/Gateway/reference.asp?No=Ref-09964431.
432(33) DFS-N1-1723, “435Application for Combination Funeral Director & Embalmer License by Endorsement,” Eff. 10-06.
448(34) DFS-N1-1724, “451Application for Combination Funeral Director & Embalmer License by Internship & Exam,” Eff. 10-06.
466(35) DFS-N1-1725, “469Application to Reactivate Inactive or Delinquent Embalmer License,” Eff. 10-06.
480(36) DFS-N1-1726, “483Application to Reactivate an Inactive or Delinquent Funeral Director License,” Eff. 10-06.
496(37) DFS-N1-1727, “499Application to Reactivate an Inactive or Delinquent Funeral Director/Embalmer License,” Eff. 10-06.
512(38) DFS-N1-1728, “515Application for Inactive Status,” Eff. 10-06.
522(39) DFS-N1-1729, “Purchase Order Brochure,” Eff. 10-06.
530(40) DFS-N1-1730, “Trustee’s Report, Preconstruction Trust Fund,” Eff. 10-06.
540(41) DFS-N1-1731, “Trustee’s Report, Care & Maintenance Trust Fund,” Eff. 10-06.
552(42) DFS-N1-1732, “555Application for Concurrent Funeral Director and Embalmer Intern License,” Effective 02/23, 567https://www.flrules.org/Gateway/reference.asp?No=Ref-15122569.
570(43) DFS-N1-1734, “573Notice of Termination/Change of Supervisor,” Eff. 10-06.
581(44) DFS-N1-1742, “584Certification of Licensure in Good Standing,” Rev. 10-06.
593(45) DFS-N1-1743, “596Change of Funeral Director/Direct Disposer in Charge,” Rev. 10-06.
606(46) DFS-N1-1744, “609Application for Direct Disposer License,” Rev. 10-06.
617(47) DFS-N1-1746, “Application for Retired Professionals,” Eff. 10-06.
626(48) DFS-N1-1747, “629Supervisor’s Quarterly Report of Apprentice or Intern Training,” Rev. 63908/16
640http://www.flrules.org/Gateway/reference.asp?No=Ref-09982642.
643(49) DFS-N1-1748, “646Application for Funeral Establishment License,” Effective 02/23, 654https://www.flrules.org/Gateway/reference.asp?No=Ref-15123656.
657(50) DFS-N1-1749, “660Registration as Training Agency,” Rev. 66608/12
667http://www.flrules.org/Gateway/reference.asp?No=Ref-09981669.
670(51) DFS-N1-1750, “673Application for Cinerator Facility License,” Rev. 10-06.
681(52) DFS-N1-1751, “684Funeral Establishment/Monthly Report of Cases Embalmed or Bodies Handled,” Rev. 10-06.
696(53) DFS-N1-1752, “699Direct Disposal Establishment/Monthly Report of Cases Embalmed or Bodies Handled,” Rev. 10-06.
712(54) DFS-N1-1753, “715Cinerator Facility/Monthly Report of Cases Embalmed or Bodies Handled,” Rev. 10-06.
727(55) DFS-N1-1754, “730Centralized Embalming Facility/Monthly Report of Cases Embalmed or Bodies Handled,” Rev. 10-06.
743(56) DFS-N1-1756, “746Application for Centralized Embalming Facility License,” Effective 02/23
755https://www.flrules.org/Gateway/reference.asp?No=Ref-15124757.
758(57) DFS-N1-1757, “761Application for Direct Disposal Establishment License,” Effective 02/23
770https://www.flrules.org/Gateway/reference.asp?No=Ref-15125772.
773(58) DFS-N1-1758, “776Application for Refrigeration Facility License,” Rev. 10-06.
784(59) DFS-N1-1759, “787Application for Removal Service License,” Rev. 10-06.
795(60) DFS-N1-1760, “798Application for Approved Continuing Education Provider Status,” Rev. 10-06.
808(61) DFS-N1-1761, “811Application for Continuing Education Course Approval,” Rev. 10-06.
820(62) DFS-N1-1762, “823Monument Establishment Sales Agent Application for Agent License,” Eff. 10-06.
834(63) DFS-N1-1763, “837Monument Sales Agent Renewal,” Eff. 10-06.
844(64) DFS-N1-1764, “847Change of Name & Request for Revised License Certificate – Entities,” Eff. 10-06.
861(65) DFS-N1-1765, “864Change of Name & Request for Revised License Certificate – Individuals,” Eff. 10-06.
878(66) DFS-N1-1766, “881Request for Duplicate License,” Eff. 10-06.
888(67) DFS-N1-1768, “891Provisional or Temporary License, Application for Initial License,” Eff. 10-06.
902(68) DFS-N1-1769, “Provisional or Temporary License, Application for Renewal,” Eff. 10-06.
914(69) DFS-N1-1770, “Election of Procedures for Removal of Cremated Remains and Postcremation Processing,” Eff. 10-06.
930(70) DFS-N1-1771, “Broker of Burial Rights Renewal,” Eff. 10-06.
940(71) DFS-N1-1772, “Monument Establishment Renewal,” Eff. 10-06.
948(72) DFS-N1-1774, “Preneed Sales Agent – Application for Appointment,” Eff. 10-06.
960(73) DFS-C-MON1, “Application for Monument Establishment License,” Effective 02/23
970https://www.flrules.org/Gateway/reference.asp?No=Ref-15126972.
973(74) DFS-EC-1, “Report of Identification for an Exempt Cemetery,” Rev. 98408/16
985http://www.flrules.org/Gateway/reference.asp?No=Ref-09980987.
988(75) DFS-PNL-R, “Cover Sheet and General Instructions for Preneed License and Branch Annual Renewal Packet,” Eff. 100508/16 1006http://www.flrules.org/Gateway/reference.asp?No=Ref-099631008.
1009(76) DFS- PNL-R1, “Invoice – Renewal of Preneed License,” Rev. 102008/16
1021http://www.flrules.org/Gateway/reference.asp?No=Ref-099711023.
1024(77) DFS- PNL-R2, “Financial Statement Instructions,” Rev. 103208/16
1033http://www.flrules.org/Gateway/reference.asp?No=Ref-099621035.
1036(78) DFS-PNL-R2A, “Balance Sheet of Preneed Licensee,” Rev. 104508/16
1046http://www.flrules.org/Gateway/reference.asp?No=Ref-099781048.
1049(79) DFS-PNL-R2B, “Income Statement,” Rev. 105508/16
1056http://www.flrules.org/Gateway/reference.asp?No=Ref-099771058.
1059(80) DFS- PNL-R3A, “Statement of Preneed Sales Under Each Individual Trust, Surety Bond, or Insurer,” Rev. 107608/16 1077http://www.flrules.org/Gateway/reference.asp?No=Ref-099761079.
1080(81) DFS-PNL-R3B, “Summary of Preneed Activity,” Eff. 08/16
1089http://www.flrules.org/Gateway/reference.asp?No=Ref-099751091.
1092(82) DFS-PNL-R4, “Annual PNL Financial Statement and Renewal Statement Certification and Application for Renewal,” Eff. 08/16 1109http://www.flrules.org/Gateway/reference.asp?No=Ref-099741111.
1112(83) DFS-PNL-R5, “Notice of Non-Renewal of Preneed License,” Eff. 08/16
1123http://www.flrules.org/Gateway/reference.asp?No=Ref-099731125.
1126(84) DFS-PNL-R6, “Net Worth Alternatives Form,” Eff. 08/16
1135http://www.flrules.org/Gateway/reference.asp?No=Ref-099721137.
1138(85) DFS-C-BBRI, “Broker of Burial Rights License Application,” Rev. 10-06.
1149(86) DFS-PNLBR “Application for Preneed Branch Office Renewal License,” Eff.10-06.
1160(87) DFS-N1-2001, “Notice of Change in Location of Funeral Establishment,” Eff. 10/09.
1173(88) DFS-N1-2002, “Notice of Change in Location of Cinerator Facility,” Eff. 10/09.
1186(89) DFS-N1-2003, “Notice of Change in Location of Direct Disposal Establishment,” Eff. 10/09.
1200(90) DFS-N1-2036, “Application to Renew Funeral Director Internship to Continue Course of Study,” Rev. 121508/16 1216http://www.flrules.org/Gateway/reference.asp?No=Ref-099691218.
1219(91) DFS-N1-2037, “Application to Renew Internship Due to Illness, Hardship, or Awaiting Results,” Rev. 123408/16 1235http://www.flrules.org/Gateway/reference.asp?No=Ref-099791237.
1238(92) DFS-N1-2038, “Application to Take the Florida Law & Rules Exam,” Rev. 125108/16
1252http://www.flrules.org/Gateway/reference.asp?No=Ref-099841254.
1255(93) DFS-N1-2039, “Certification for General Supervision of Intern,” Rev. 126508/16
1266http://www.flrules.org/Gateway/reference.asp?No=Ref-099831268.
1269(94) DFS-N1-2040, “Report of Suspension of Intern’s Conditions of Internship,” Rev. 128108/16
1282http://www.flrules.org/Gateway/reference.asp?No=Ref-099701284.
1285(95) DFS-N1-2041, “Application for Approval of a Course of Study under section 1297497.373(1)(d)2., F.S.,1299” Eff. 1/12.
1302(96) DFS-N1-2183, “1305Preneed Trust Fund, Annual Trustee Report,” Eff. 131303/19
1314http://www.flrules.org/Gateway/reference.asp?No=Ref-111181316.
1317Rulemaking Authority 1319497.103, 1320497.141, 1321497.142, 1322497.146, 1323497.147, 1324497.152, 1325497.263, 1326497.264, 1327497.266, 1328497.269, 1329497.270, 1330497.272, 1331497.281, 1332497.283, 1333497.287, 1334497.368, 1335497.369, 1336497.370, 1337497.373, 1338497.374, 1339497.375, 1340497.376, 1341497.380, 1342497.382, 1343497.385, 1344497.453, 1345497.454, 1346497.456, 1347497.458, 1348497.462, 1349497.464, 1350497.466, 1351497.550, 1352497.551, 1353497.553, 1354497.554, 1355497.602, 1356497.603, 1357497.604, 1358497.606, 1359497.608 FS. 1361Law Implemented 1363497.103, 1364497.140, 1365497.141, 1366497.142, 1367497.143, 1368497.146, 1369497.147, 1370497.263, 1371497.264, 1372497.266, 1373497.269, 1374497.270, 1375497.272, 1376497.281, 1377497.283, 1378497.287, 1379497.365, 1380497.368, 1381497.369, 1382497.370, 1383497.373, 1384497.374, 1385497.375, 1386497.376, 1387497.377, 1388497.378, 1389497.379, 1390497.380, 1391497.382, 1392497.385, 1393497.453, 1394497.454, 1395497.456, 1396497.458, 1397497.462, 1398497.464, 1399497.466, 1400497.550, 1401497.551, 1402497.553, 1403497.554, 1404497.602, 1405497.603, 1406497.604, 1407497.606, 1408497.608 FS. 1410History–New 9-28-03, Formerly 3F-5.010, 141469K-5.010, 1415Amended 1-24-08, 4-18-10, 6-17-10, 7-22-12, 12-27-18, 10-6-19, 2-20-23.
Historical Versions(7)
Select effective date to view different version.Related Statutes:
- 497.101, F.S.
- 497.103, F.S.
- 497.140, F.S.
- 497.141, F.S.
- 497.142, F.S.
- 497.143, F.S.
- 497.146, F.S.
- 497.147, F.S.
- 497.149, F.S.
- 497.263, F.S.
- 497.264, F.S.
- 497.266, F.S.
- 497.269, F.S.
- 497.270, F.S.
- 497.272, F.S.
- 497.281, F.S.
- 497.283, F.S.
- 497.287, F.S.
- 497.365, F.S.
- 497.368, F.S.
- 497.369, F.S.
- 497.370, F.S.
- 497.373, F.S.
- 497.374, F.S.
- 497.375, F.S.
- 497.376, F.S.
- 497.378, F.S.
- 497.379, F.S.
- 497.380, F.S.
- 497.382, F.S.
- 497.385, F.S.
- 497.453, F.S.
- 497.454, F.S.
- 497.456, F.S.
- 497.458, F.S.
- 497.461, F.S.
- 497.462, F.S.
- 497.464, F.S.
- 497.466, F.S.
- 497.550, F.S.
- 497.551, F.S.
- 497.553, F.S.
- 497.554, F.S.
- 497.602, F.S.
- 497.603, F.S.
- 497.604, F.S.
- 497.606, F.S.
- 497.608, F.S.