Cemetery Board
Forms and Applications
Important Notice for Applicants
Applicants for Licensure must read the Board regulations for the profession or occupation for which they are requesting licensure.
Go to the Board's main web page for information on the Rules and Regulations of this Board.
Application Format Information
You must have the Adobe Acrobat Reader in order to view and print the Adobe Acrobat PDF files or you may use Microsoft Word version 7.0 or higher to open and edit (fill in) the MS Word Format forms. You can obtain the Adobe PDF Acrobat Reader or the Word Viewer from the Plug-ins page.
Important Information about Acceptance of Applications
DPOR Boards will only accept application forms that print out exactly as the ones provided on this site. If the form does not print out on your printer as it appears on the screen, you should contact the appropriate Board office to request that a copy of the application form be sent to you through postal mail. DPOR Boards will not be responsible for delays resulting from use of forms printed from this Web site (e.g., request that a form be resubmitted on a proper form).
Application Forms
The table below contains a list of relevant forms and applications for Business entities related to this board. Please choose the row and column for the form you need, and open the file by clicking on the icon for the MS Word format or the icon for the PDF Format.
| Form Name or Type | MS Word Format | PDF Format |
|---|---|---|
| Cemetery Addition Form |
 |
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| Cemetery Company License Application |
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| Cemetery Company Renewal/Reinstatement Application |
|
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| Compliance Agent Designee Application |
|
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| Compliance Agent/Director/Officer Change Form |
|
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| New Trustee/Transfer of Funds Notification Form |
|
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| Perpetual Care Fidelity Bond Form |
|
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| Perpetual Care Trust Fund Financial Report Instructions |
|
|
| Perpetual Care Trust Fund Financial Report |
|
|
| Perpetual Care Trust Fund Financial Report - Schedule A |
|
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| Perpetual Care Trust Fund Financial Report - Schedule B |
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| Perpetual Care Trust Fund Financial Report - Schedule C |
|
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| Perpetual Care Trust Fund Financial Report - Schedule D |
|
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| Perpetual Care Trust Fund Financial Report - Schedule E |
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| Perpetual Care Trust Fund Trustee Verification |
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| Preneed Burial Contract |
|
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| Preneed Fidelity Bond Form |
|
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| Preneed Trust Fund Financial Report Instructions |
|
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| Preneed Trust Fund Financial Report |
|
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| Preneed Trust Fund Financial Report - Schedule A |
|
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| Preneed Trust Fund Financial Report - Schedule B |
|
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| Preneed Trust Fund Financial Report - Schedule C |
|
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| Sales Personnel Registration Form |
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| Trustee Approval Application |
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Copyright © 2000 Virginia Department of Professional and Occupational Regulation
This web page was last updated: 09/24/2007 01:15:35 PM