Forms

All forms are now available online and are open field documents so the forms can be typed prior to being printed. Handwritten forms WILL NOT be accepted​ by the Board Office. If turning in an application that is not typed, it will be marked incomplete. 


Available Forms​​​​

  • Calendar

    Blank calendar template which can be used by apprentices.
  • Apprentice Travel Form

    This form is to be used by apprentices that travel to other Funeral Homes to complete extra cases. This form shall be maintained with the calendar.
  • Continuing Education Reporting Form

    This form is for reporting continuing education hours.
  • Apprenticeship Registration

    Application for registration into the Apprenticeship Program. Please include a picture, copy of high school transcripts or diploma, official copy of college transcripts and if available National Board scores. This form must be typed.
  • Continuing Education Program Accreditation Request Form

    Continuing education program request form for sponsors. This form must be typed.
  • Establishment Application

    The application is for new funeral homes. This form must be typed.
  • Change of Supervisor

    Notification of supervisor change for any apprentice. This form must be typed.
  • Medical Exemption

    This form is for Funeral Directors or Embalmers who require a medical exemption from certain duties, but wish to maintain their license. And needs to be filed every year to keep your medical exemption. This form must be typed.
  • Seventy & Inactive Form

    For those license holders who are 70 years or older and not actively involved in embalming or funeral directing and who wish to stop obtaining CE hours per KRS 316.130(3). This form must be typed.
  • Courtesy Card Application

    Application for a licensed Funeral Director or Embalmer from another state or federal district which issues courtesy cards or similar permits to Kentucky. This form must be typed.
  • Individual Renewal Form

    Renewal form for the current renewal period only. This form must be typed.
  • Embalmer Exam Application

    Embalmer exam request form for apprentices and reciprocal applicants. This form must be typed.
  • Funeral Director Exam Application

    Funeral Director exam request form for apprentices and reciprocal applicants. This form must be typed.
  • Establishment Information & Name Change Form

    The form is to request changes to be made to general information for an establishment. This form must be typed.
  • Reciprocal Form

    Application for a reciprocal license. Include official state verification, a copy of high school diploma, official copy of college transcripts and National Board scores. Fill out the separate exam form and mail them in together. This form must be typed.
  • Level II Apprentice Application

    This form is to be filled out by the apprentice's supervisor to apply for a Level II Card. This is only available to apprentices that have served six months and have completed at least 25 removals, 25 funerals and 25 embalmings. This form must be typed.
  • Apprenticeship Sworn Statement

    Apprentices must file this form as their sworn statement that they are working and keeping track of all of their cases of removals, funerals and embalming. Must be filed with the office every 6 months of November 1st and May 1st. This form must be typed.
  • Establishment Renewal

    Establishment renewal form for the current renewal period only. Include your GPL for your establishment. This form must be typed.