Regulating Death Care Facilities and Practitioners in Oregon

Forms

This page contains all forms published by the Oregon Mortuary and Cemetery Board. These forms all appear in other locations on our website, but are compiled here in one location for your convenience. If you have questions about which form you need to use, please contact Board staff.

Initial Applications for Individual Licensees:

This information has moved! Applications are now accepted through our online Applicant Portal. For information on how individuals can apply for licensure- please visit our Individual Licensing Page.

Other Forms for Individual Licensees

1. Embalmer Apprentice Log Samples: PDF | Word

2. FSP Apprentice Log Samples: PDF | Word

3. Wall Certificate Order Form

Initial Applications for Facilities

4. Initial Application For Oregon License To Operate A Funeral Establishment

5. Initial Application For Oregon Certificate Of Authority To Operate A Cemetery

6. Cemetery Licensing/ Registration Questionnaire

7. Initial Application For Oregon Certificate Of Authority To Operate A Crematorium

8. Initial Application for Oregon Certificate of Authority to Operate an Alternative Disposition Facility

9. Application For Certificate Of Removal Registration.

Changes in Ownership

10. Change Of Ownership Application For Oregon License To Operate A Funeral Establishment

11. Change Of Ownership Application For Oregon Certificate Of Authority To Operate A Cemetery

12. Change Of Ownership Application For Oregon Certificate Of Authority To Operate A Crematorium

Other Forms for Facility Licensing

13. Facility Change of Address (Mailing Address or Location of Records Only)

14. Application for Facility Location Change

15. Application for Facility Name Change

16. Application for Change of Principal

17. Applicant Facility Owner Information Sheet

18. Background Information Questionnaire

Compliance Related Forms

19. Oregon Indigent Disposition Reimbursement Application

20. Notification of Found Cremated Remains

21. Notification of Found Human Remains

22.

23. Sample Receipt for Cremated Remains

24. Temporary Burial Permit

25. Appointment of Person to Make Decisions Concerning Disposition of a Current Decedent's Remains

26. Appointment of Person to Make Decisions Concerning Disposition of My Remains