21 NCAC 34B .0309          LICENSE RENEWAL FORM

(a)  To renew a funeral director, funeral service, or embalmer's license, the licensee annually shall complete and submit to the Board a renewal application. Failure to submit a completed renewal application by February 1 shall cause the licensee's license to be forfeited.

(b)  The renewal form shall contain the following:

(1)           The licensee's full name and license number;

(2)           The licensee's physical address of personal residence, mailing address, and phone number(s);

(3)           The licensee's current place of employment, work address, and telephone number;

(4)           Whether the licensee's place of employment changed since the previous renewal application was submitted;

(5)           Whether the licensee is on active or inactive status pursuant to G.S. 90-210.25(2);

(6)           Whether the licensee is requesting to be on active or inactive status pursuant to G.S. 90-210.25(2) for the next year;

(7)           Whether the licensee has been convicted of a felony or misdemeanor crime (excluding traffic infractions) since the previous renewal application was submitted and, if so, a statement providing the jurisdiction, charge, and disposition of each conviction;

(8)           Whether the licensee has had an occupational or business license denied, suspended, or revoked by any local, state, or federal agency since the previous renewal application was submitted and, if so, a statement providing the reason for the denial and the date, location, and circumstances of any violation that led to action against your license, the terms of any discipline imposed by the licensing authority, and whether said terms have been satisfied;

(9)           Whether the licensee has been subject to any investigation for employee misclassification since the previous renewal application was submitted;

(10)         Whether the licensee has received credit for attending at least five continuing education credits of courses approved by the Board since the previous renewal application was submitted and, if so, copies of all continuing education forms showing courses attending that have not been already submitted to the Board;

(11)         If the licensee is claiming an exemption from continuing education requirements, the basis for which the licensee is claiming the exemption;

(12)         The licensee's signature to certify that he or she has prepared the application and has read the answers; that the information provided in the application is true; and that he or she has read the NC Industrial Commission Public Notice Statement; and

(13)         The application fee, as prescribed by G.S. 90-210.28 and 21 NCAC 34A .0201. If the application fee is dishonored by the licensee's drawee bank for any reason, the Board shall suspend the license until the renewal fees and non-sufficient fund charges are paid.

History Note:        Authority G.S. 90‑210.23(a); 90‑210.25(a)(5); 90-210.28;

Eff. February 1, 1976;

Readopted Eff. September 27, 1977;

Amended Eff. November 1, 2004;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 19, 2017;

Amended Eff. April 1, 2021.