dlcp@dc.gov
1100 4th Street, SW, Washington, DC 20024
(202) 671-4500
IMPORTANT:
You are not eligible to use this application if your license has been expired 5 or more years.
I understand that the information I provide within this application must be true, complete and original. If I make a false statement and/or upload tampered/forged supporting documentation on this application, my license will be revoked and I will be permanently barred from consideration of licensure to practice in the funeral industry in the District of Columbia.
Funeral License Type
Upload Proof of Employment with Funeral Establishment
Upload Photo
Reinstatement Fee
Full Name
Business Address
Is your business address the same as your home address?
Home Address
Have you been practicing in the District of Columbia since your license expired?
Upload Letter of Explanation
Are you licensed in another state/jurisdiction?
Upload Certificate of Good Standing
Do you owe any outstanding debt over $100 to the District government as a result of any fine, fee, penalty, interest, or past due taxes as stipulated in the "Clean Hands Before Receiving a License or Permit Act of 1996" (DC Law 11-118, DC Code ยง47-2861 et seq.)?
Upload payment plan or receipt of payment
Do you owe any outstanding debt to the District government as a result of any past due child support payments as stipulated in the Child Support and Welfare Reform Compliance Amendment Act of 2000 (DC Law 13-269, DC Code ยง46-225.01)?
Have you been convicted of a crime (other than minor traffic violations) since your last renewal?
Upload Conviction Judgment
Since your last renewal, has any authority taken adverse action against your license or privileges?
Upload Disciplinary Order
Upload twelve (12) professional development hours
Upload twelve (12) hours professional development (required for each missed cycle)
I certify that the above statements on this application are true and complete to the best knowledge and belief. I agree to comply with all applicable laws and regulations of the District of Columbia. I/We understand that, anyone who makes a false statement on this form can be criminally prosecuted; and, if convicted, fined up to $1000, imprisoned up to 180 days, or both, under D.C. Official Code ยง 22-2405.
Sign Here
DC INSPECTOR GENERAL HOTLINE: If you are aware of corruption, fraud, waste, abuse, or mismanagement involving any DC Government agency, official or program, contact the Office of the Inspector General (OIG) at 202-727-0267 or 1-800 521-1639 (toll free). All reports are confidential and you may remain anonymous by law. Government employees are protected from reprisals or retaliation by their employers for reporting to the OIG. The information you provide may result in an investigation leading to administrative action, civil penalties, or criminal prosecution in appropriate cases.
