Document 14011565

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Dear Applicant:
Thank you for your interest in acquiring a Cinerator Facility License. Enclosed is an application
for the Cinerator Facility. Please be advised, you will also need the following information as
supporting documentation.
1. Complete the Business Entity-List of Principals Form located on our website,
www.myfloridacfo.com/funeralcemetery.
2. Fingerprint card submissions for each officer, owner, manager and/or director. You must
make the payment for processing at www.ibtfingerprint.com/state/?st=fl. If you are in the state of
Florida, please follow the prompts on the website to locate a site to have the fingerprints taken
electronically. If you are outside the state of Florida, or unable to find a location in your area,
you will need to follow the directions at the aforementioned website in order to pay for the
processing and have the fingerprint cards sent to you.
F.S. 497.142(11)(a)
When an applicant is required by this chapter to submit fingerprints in applying for
a license, the following persons shall be required to submit such fingerprints:
1. Where the applicant is a natural person, the fingerprints of the natural person
making application.
2. Where the applicant is a corporation, the fingerprints of the persons serving in
the following capacities: chief executive officer and president, or both persons if the
positions are filled by different persons; chief financial officer; chief of operations;
general counsel if a corporation employee; and members of the board.
3. Where the applicant is a limited liability company, the fingerprints of all
managers and members of the limited liability company.
4. Where the applicant is a partnership, the fingerprints of all partners.
(b) In addition to persons identified in paragraph (a) as being required to provide
fingerprints, the department may, during its prelicensing investigation of the
applicant pursuant to subsection (3), on a case-by-case basis, require fingerprints
from any other employee of the applicant if the department has grounds to believe
FLORIDA DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF FUNERAL, CEMETERY AND CONSUMER SERVICES
200 EAST GAINES STREET  TALLAHASSEE, FLORIDA 32399-0361 TEL. 850-413-3039  FAX 850-413-4958  SC 293-3039
WWW.MYFLORIDACFO.COM/FUNERALCEMETERY
Affirmative
Action

Equal Opportunity Employer
that any such employee may have committed any crime and that such employee’s
relationship to the applicant may render the applicant a danger to the public if the
license applied for is issued.
3. If the Cinerator Facility will be contracting any services out (i.e. embalming, refrigeration,
storage or transportation of bodies), a copy of the contract must be submitted. It must include the
Name of the Establishment, License Number, Address and be signed by the Funeral Director in
Charge or Owner.
4. Complete the Elections of Procedures for Removal of Cremated Remains Form located on our
website, www.myfloridacfo.com/funeralcemetery
5. If the facility is a Corporation or LLC or has a Fictitious Name, such names must be filed with
the Department of State (www.sunbiz.org) and a copy of the certificate must be submitted with
the application.
6. All operational personnel must also take a two hour communicable disease course. Please
note the following rule:
69K-17.0035 Communicable Disease Education Required for Operational Personnel.
(1) All operational personnel as defined in Rule 69K-15.005, F.A.C., shall successfully
complete one Board approved course on communicable diseases, within 10 days after the date
they are employed by any entity that is subject to Chapter 497, F.S. The course shall be at least
two (2) hours and may include the use of approved video-cassette courses, or other types of
audio, video, Internet, or home study courses. All persons subject to this rule shall maintain a
certificate of completion showing proof of meeting the communicable disease education
requirement as a condition of employment with any establishment, facility or service regulated
under Chapter 497, F.S.
(2) Courses approved for two (2) or more hours pursuant to paragraph 69K-17.0042(3)(c),
F.A.C., can be used to fulfill the two (2) hour communicable disease educational requirement.
The name, address, telephone number and email address for approved continuing education
providers that offer courses that will satisfy this communicable disease educational requirement
can be found on the Department’s website (http://www.myfloridacfo.com/FuneralCemetery).
Rulemaking Authority 497.103(1)(s), (5)(a), 497.162 FS. Law Implemented 497.162 FS. History–New 4-10-94,
Amended 9-10-96, 11-20-96, 6-24-01, Formerly 61G8-17.0035, Amended 6-9-09.
7. Please note the following rule:
69K-22.002 Inspection.
Each cinerator facility shall be inspected prior to the issuance and renewal of its license and
FLORIDA DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF FUNERAL, CEMETERY AND CONSUMER SERVICES
200 EAST GAINES STREET  TALLAHASSEE, FLORIDA 32399-0361 TEL. 850-413-3039  FAX 850-413-4958  SC 293-3039
WWW.MYFLORIDACFO.COM/FUNERALCEMETERY
Affirmative
Action

Equal Opportunity Employer
shall meet the following criteria:
(1) Maintain one or more retorts for the reduction of dead human bodies.
(2) Maintain refrigeration which satisfies the standards set by the Department of Health and
which contains a sufficient number of shelves for the average daily number of bodies stored, if
unembalmed bodies are kept at the site.
(3) Maintain sufficient pollution control equipment to comply with the Department of
Environmental Protection requirements in order to secure annual approved certification.
(4) Either have on site or immediately available sufficient gasketed metal containers of a type
required for the transportation of bodies as specified in Rule 10D-37.012, F.A.C.
(5) Maintain the premises in a clean and sanitary condition.
(6) Have appropriate Department of Environmental Protection permits.
(7) All signed contracts are to be retained for a period of at least two years.
If you have any further questions, please feel free to contact the Division of Funeral, Cemetery
and Consumer Services at 850-413-3039.
FLORIDA DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF FUNERAL, CEMETERY AND CONSUMER SERVICES
200 EAST GAINES STREET  TALLAHASSEE, FLORIDA 32399-0361 TEL. 850-413-3039  FAX 850-413-4958  SC 293-3039
WWW.MYFLORIDACFO.COM/FUNERALCEMETERY
Affirmative
Action

Equal Opportunity Employer
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