Funeral establishment -- monthly report of cases embalmed and ... 2026

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The document is a monthly report form for funeral establishments, detailing cases of embalmed bodies and handling of deceased individuals. It includes sections for the establishment's information, details about the deceased, methods of disposal, and signatures from licensed funeral directors or embalmers to confirm compliance with Florida regulations.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the name of your funeral establishment and its license number at the top of the form.
Specify the reporting month and year, ensuring accuracy for compliance purposes.
Fill in your contact phone number and address to facilitate communication.
List the names and license numbers of facilities where bodies are refrigerated, embalmed, and cremated, as well as any removal services used during this period.
For each case, provide details such as the name of the deceased, dates received and of death, date embalmed, name of embalmer, method of disposal, county of death, and burial transit permit number.
Ensure all signatures from funeral directors/embalmers are included along with their license numbers before finalizing the document.

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