Fillable Printable Funeral Director/Embalmer License Application
Fillable Printable Funeral Director/Embalmer License Application
Funeral Director/Embalmer License Application
Funeral Director/ Embalmer
License Application
Use this application to apply for a funeral director and/or embalmer license.
Mail your application and fee to:
Funeral and Cemetery Board
Department of Licensing
PO Box 35001
Seattle WA 98124-3401
Mail all other supporting documents to:
Funeral and Cemetery Board
Department of Licensing
PO Box 9012
Olympia WA 98507
Requirements
To qualify for a license as a funeral director or embalmer, you must:
• Be at least 18 years old.
• Meet at least one of the following requirements:
• Have an Associate of Arts degree in Mortuary Science.
• Meet the alternative education requirements below.
• Have at least 5 years of active licensed experience in another state.
• Complete a funeral director and/or embalmer internship.
• Pass the licensing examination.
Alternative education
Funeral director
• If you don’t have an Associate of Arts degree in Mortuary Science, you must complete a course of at least 60 semester
or 90 quarter hours of instruction in an accredited college or university.
• You must finish the instruction with a 2.0 grade point average or a grade of C or better.
• The required courses must include the following:
• 1 course in psychology
• 1 course in mathematics
• 2 courses in English composition
• 2 courses in social science
• 3 courses in any combination of:
• behavioral sciences
• public speaking
• counseling
• business administration and management
• computer science
• first aid
Embalmer
If you don’t have an Associate of Arts degree in Mortuary Science, you must complete a course of at least 60 semester or
90 quarter hours of instruction in an accredited mortuary science college program and other college courses. A diploma or
certificate from a mortuary school whose curriculum does not equal at least 60 semester or 90 quarter hours of instruction
does not meet Washington’s education requirements.
How to apply
1. Submit a completed Funeral Director/Embalmer License Application with a check or money order payable to the
Department of Licensing.
2. Request a certified copy of your transcript(s) be sent to our office. Only sealed transcripts sent directly from the
issuing college or university are accepted. Educational equivalents are subject to approval and must be documented
by providing a course syllabus, outline, or certificate of completion for non-academic courses.
3 Request an official copy of your National Board scores be sent to our office.
4. Reciprocity applicants only: Complete the applicant name and license number fields on the Funeral Directors/
Embalmers Verification of Out-of-State License form and send it to the state where you are currently licensed. They will
complete the Certification Verification section and return the form to our office.
• If you have less than 5 years of active licensed experience in another state, you must meet the education
requirements and complete steps 2 and 3.
• If you have at least 5 years of active licensed experience in another state, skip steps 2 and 3.
FDE-653-002 (R/5/17)WA Page 1 of 3
Funeral Director/ Embalmer
License Application
Send this completed form and a check or money order payable to the
Department of Licensing to:
Funeral and Cemetery Board
Department of Licensing
PO Box 35001
Seattle, WA 98124-3401
This application is for:
Funeral director license – $100
Embalmer license – $100
Duplicate license – $25 (complete section 1 only and sign on page 2)
1. Personal information
PRINT or TYPE Name (Last, First, Middle – will appear in the proper order on your wall certificate) Former name (if applicable)
Social Security number required* (or ITIN, Green Card, Canadian SIN)
Date of birth (mm/dd/yyyy) Gender
Male Female
Mailing address
City State ZIP code County
(Area code) Daytime telephone number Email Would you like to be added to the Board’s electronic mailing list?
Yes No
Have you passed the National Board exams given by the International Funeral Service Examining Boards?
Yes No
*All United States applicants are required by federal and state law to provide their Social Security number (SSN) for use in child support enforcement
programs (42 U.S.C. 666(a)(13) and RCW 74.20A.320). It may also be used for education loan repayment programs and identification of records with similar
names. Submission of your SSN is mandatory; failure to submit it will result in denial of your application.
Reciprocity only
Current state of licensure Profession Date of original registration Registration number State where qualifying exams taken
Attach additional pages if necessary.
2. Educational background
Name of college, university, technical school Location
Dates of attendance
From - To Degree
Applicable education and supplemental training Location
Dates of attendance
From - To Certificate/Degree etc.
3. Licensing and legal history
Answer the following
Answer the questions below. If you answer “Yes,” attach a detailed explanation.
In this state or any other jurisdiction, are you or have you
:
1. Within the last 10 years, had any action (fine, suspension, revocation, censure, surrender, etc.)
taken against any professional or occupational license, certification, or permit held by you? ...........
Yes No
2. Within the last 10 years, defaulted or been convicted of or entered a plea of no contest to a
gross misdemeanor or felony crime? (Don’t include traffic offenses.) .............................
Yes No
3. Currently required to register as a sex offender?........................................... Yes No
FDE-653-002 (R/5/17)WA Page 2 of 3 (continued on next page)
Click here to START or CLEAR, then hit the TAB button
4. Intern training – if applicable, list any intern training you have received
1 Name of establishment
Type of internship From (m/d/yy) To (m/d/yy)
Address (Street, city, state, and ZIP code)
Name of licensed sponsor Total hours of training
2 Name of establishment
Type of internship From (m/d/yy) To (m/d/yy)
Address (Street, city, state, and ZIP code)
Name of licensed sponsor Total hours of training
3
3 Name of establishment
Type of internship From (m/d/yy) To (m/d/yy)
Address (Street, city, state, and ZIP code)
Name of licensed sponsor Total hours of training
4 Name of establishment
Type of internship From (m/d/yy) To (m/d/yy)
Address (Street, city, state, and ZIP code)
Name of licensed sponsor Total hours of training
5. Certification
Unsigned applications will not be accepted by the Board. Before signing the application, you must familiarize yourself with
the funeral director and embalmer laws and rules.
Answer the following
1. Do you agree to abide by all the applicable laws and rules regarding the practice of
funeral directing and embalming? ...................................................... Yes No
2. Do you authorize any business associates (past and present) and any governmental agencies
(local, state, or federal) to release to the Department of Licensing any information, files, or records
which may be required for a background investigation? ..................................... Yes No
3. Do you understand that if you provide any false information in this application we may deny,
suspend, or revoke your license to practice in Washington? .................................. Yes No
I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct.
Date and place Applicant signature
FDE-653-002 (R/5/17)WA Page 3 of 3
X
When you have completed this form, please print it out and sign here.
