NCBFS Forms

Complete List of Forms

Most forms are fillable PDF’s. If you have problems with the fillable PDF, please try another browser or PDF reader. Note that we have discontinued FAX service. All forms must be submitted online or through mail. We are in the process of updating our forms to exclude the FAX number.

Establishment/Chapel

Applications

New Preneed Funeral Establishment Check-List

New Preneed Funeral Establishment Application

Preneed Funeral Establishment License Bond

Application for Individual Preneed Sales License (Schedule A Form)

Contract to Share Individual Preneed Sales Licensees

Manager Changes

Manager Change Notification

New Establishment

New Funeral Establishment Application Checklist

Application for Funeral Establishment Permit (fillable BFS-17(a))

Location Change

Application for Change of Location of Funeral Establishment

Chapel

New Chapel Application Check-List

Application for Chapel Permit (fillable – BFS-57(a))

Waiver – Practicing during Disasters

Request for Temporary Waiver of Funeral Establishment Permit – Disasters

Waiver – Practicing during Emergencies

Request for Temporary Waiver of Funeral Establishment Permit – Emergencies

Preneed

Certificate of Performance

Certificate of Performance (“COP”) (8/2025)

COP – Inflation-Proof Calculator (3/2024)

COP – IP Calculator Instructions

Insurance Funded Preneed Funeral Contracts

Standard Insurance Preneed Funeral Contract & SGSS

Inflation-Proof Insurance Preneed Funeral Contract & SGSS

Trust Funded Preneed Funeral Contracts

Standard Trust Preneed Funeral Contract & SGSS

Inflation-Proof Trust Preneed Funeral Contract & SGSS

Trust to Insurance Conversion

Applications

New Preneed Funeral Establishment Check-List

New Preneed Funeral Establishment Application

Preneed Funeral Establishment License Bond

Application for Individual Preneed Sales License (Schedule A Form)

Contract to Share Individual Preneed Sales Licensees

Request for Board to Provide Copy of Preneed Contract

Request for Copy or Copies of Preneed Contract Documents

Miscellaneous Forms and Sample Letters

Individual Preneed File Check-List

Use this form to ensure each preneed funeral contract file contains those items subject to examination by Board inspectors.

Form PN-4 Substitution of Financial Institution Form

Note: This form is to be used when a preneed funeral establishment wishes to transfer its own preneed funeral trust accounts from one financial institution to another. It is not used when a purchaser wishes to transfer his or her trust funded preneed funeral contract from one preneed funeral establishment to another.

Form PN-6 Cash Receipt Journal

Insurance Company Request – Policy Owner Release of Information

Insurance Company Request – Funeral Home Requests Year End Policy Status Information

Procedures for Amending Previously Filed Preneed Funeral Contracts

Procedures for Revoking an Irrevocable Preneed Funeral Contract

Cremation

Crematory Licensee Applications

New Crematory Licensee Application Check-List

Application for Crematory Licensee Permit

Application for Crematory Manager Permit

Cremation Authorizations and Waiver of 24 Hour Waiting Period

Model – Standard Cremation Authorization Form

Form 56E1 – Authorization for Cremation of Amputated Body Parts

Form 56F1 – Confirmation of Fetal Death for Cremation

Form 55A – Waiver of Waiting Period for Cremation

Medical Examiner’s Authorization for Cremation Form

Note: G.S. § 130A-388 and 10A NCAC 44 .0501 prohibit any decedent from being cremated or hydrolyzed until a medical examiner has granted permission to do so. For cremation, those death’s certified by an attending physician, Form DHHS 1881 could be required. Currently, there is no Form DHHS 1881 equivilant specifically designated for the purpose of authorizing hydrolysis. Until which time such form is available, it is Board staff’s opinion that a funeral provider or hydrolysis licensee would be in compliance with G.S. § 130A-388 and 10 NCAC 44 .0501 to utilize Form DHHS 1181 for the purpose of obtaining a medical examiner’s permission to hydrolyze human remains.

Cremation Records of Receipt and Delivery

Form 56G1 – Consolidated Receipts (56 A1,B1, & C1) (9/2019)

Form 56A1 – Receipt of Human Remains by Crematory Licensee (9/2019)

Form 56B1 – Record of Cremation by Crematory Licensee (9/2019)

Form 56C1 – Delivery of Cremated Remains from Crematory Licensee (9/2019)

Form 56D1 – Delivery of Cremated Remains from Funeral Provider (9/2019)

Cremation Monthly Report

Model – Monthly Cremation Report

Instructions for Cremation Reports

Cremation File Check-list

Individual Cremation File Check-List

Use this form to ensure each cremation file contains those items subject to examination by Board inspectors.