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Certificate of embalming

Embalming certificate format 2026

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The document is a Monthly Reporting Form for Provisional Licensees in the Texas Funeral Service Commission, designed for funeral directors and embalmers. It outlines the requirements for provisional licensees to report their activities, including details about deceased individuals, supervision by licensed professionals, and record-keeping responsibilities. The form emphasizes compliance with supervision regulations and the importance of maintaining documentation for inspection by the Commission.

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Click ‘Get Form’ to open the embalming certificate format in the editor.
Begin by entering the Provisional Licensee Name and License Number at the top of the form. This identifies who is reporting.
Specify the Reporting Period by filling in the 'From' and 'Through' dates, ensuring accurate record-keeping.
Provide details of the Funeral Establishment, including its Name, Address, and License Number.
Indicate the name of the Funeral Director or Embalmer in Charge along with their License Number for accountability.
For each case handled, list the Name of Deceased, Date of Activities Performed, and Supervisor’s Printed Name & License Number. Ensure you check whether it was for funeral directing or embalming.
After completing all entries, sign as both Provisional Licensee and Funeral Director/Embalmer in Charge where applicable before submission.

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