Request for Approval to Share Licensing Application 2025

1. Click ‘Get Form’ to open the Request for Approval to Share Licensing Application in our editor.
2. Begin with Section A: Applicant Information. Fill in the establishment name, license number, address, city, state, telephone number, and contact person details. Ensure accuracy as this information is crucial for processing your application.
3. Proceed to Section B: Main Office. Enter the establishment name and license number of your main office, along with its address and zip code. This section must be completed accurately as it verifies your operational base.
4. In Section C: Shared Training Facilities, provide details about each training establishment including names, license numbers, addresses, and supervising embalmers. Make sure to include the distance from the main office and total apprentices supervised for each facility.
5. Finally, complete Section D: Funeral Director Certification by signing and dating the form. This certifies that all provided information is true under penalty of perjury.

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