FSC Application & ICFHA Course Selection
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    • Name: {candidateName}
      Location: {location}
      Job Title: {jobTitle85}
      Status: {status} 
      Class: {employmentClassification}

    • Family Service Counselor Application 

    • APPLICATION FOR LICENSURE

      Customer Service Employee

    • IMPORTANT NOTICE: Completion of this form is necessary for consideration for licensure under 225 of the Illinois Compiled Statutes. Disclosure of rhit information is VOLUNTARY. However, failure to comply may result in this form not being processed.

    • The following materials are require to make Application for Licensure and/or Examination in Illinois:

      1. Three page APPLICATION FOR LICENSURE.
      2. INSTRUCTION SHEET, which gives step by step application instructions for your profession.
      3. SUPPORTING DOCUMENTS, forms, and/or any other documentation you may be required to submit with your application.
      4. If the name shown on your supporting documents is different from that shown on your application, you must submit PROOF OF LEGAL NAME change - copy of marriage license, divorce decree, affidavit or court order.

    • Carefully follow all steps outline on the INSTRUCTION SHEET. In addition, note the following:

      1. Type or print legibly with black ink only.
      2. FEES ARE NOT REFUNDABLE.
      3. Disclosure of your U.S. social security number, if you have one, is mandatory, in accordance with 5 Illinois Compiled Statutes 100/10-65 to obtain a license. The social security number may be provided to the Illinois Department of Public Aid to identify persons who are more than 30 days delinquent in complying with a child support order, or to the Illinois Department of Revenue ot identify persons who have failed to file a tax return, pay tax, penalty or interest shown in a filed return, or to pay any final ssessment or tax penalty or interest, as required by any tax Act administered by the Illinois Department of Revenue, or to other entities for verification of identification.

    • PART I: Application Category Information


    • PART II: Applicant Identifying Information--You must notify the Department of Financial and Professional Regulation - Division of Professional Regulation of any address changes after you file this paplication in order to receive any further information.

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    • PART III: Education Information

    • PART IV: Record of Licensure Information

    • If you have ever been licensed to practice the profession for which you are now making application, or held a related license, complete the information requested below.  If you have ever held a temporary, trainee or apprenticeship license, or a permit, it must be listed here also. In addition, the INSTRUCTION SHEET enclosed with this Application package may instruct you to have Certification(s) of LIcensure in other state(s) prepared and submitted in support of your application (contact other state(s) regarding possible fee). You must also list all other licenses held in Illinois, however, certification of licensure from Illinois is not required. Failure to disclose all icenses held may result in denial of your application or other apprporiate action.

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    • PART V: Personal History Information (This part must be completed by all applicants)

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    • PART VI: Child Support and/or Student Loan Information (Every applicant is required by law to respond to the following questions)

    • PART VII: Certification Program

    • PART VIII: Certifying Statement

    • Under penalties of perjury, I declare that I have examined the application and all supporting documents submitted by me in connection therewith, and to the best of my knowledge, the are true, correct, and complete.

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  • APPLICATION FOR LICENSURE

    Customer Service Employee

  • IMPORTANT NOTICE: Completion of this form is necessary for consideration for licensure under 225 ILCS65/1 et. seq. of the (Illinois Compiled Statutes). Disclosure of this information is VOLUNTARY. However, failure to comply may result in this form not being processed.

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  • Illinois Cemetery and Funeral Home Association
    Cemetery Manager & Customer Service Employee
    Certification Course Registration Form
    14608 John Humphrey Dr., Orland Park, IL 60462
    Ph: 866-758-7731  Fax: 866-758-7732  Email: ICFHA@hotmail.com

     

    The Illinois Cemetery Oversight Act - Article 10 - Licensing and Registration Provisions states:

    "Any applicant for ilcensure as a cemetery manager or a cemetery authority that is already licensed under COA or has a pending application for licensure under COA must submit his or her application to the IDFPR on or before his or her first day of work. The application for customer service employee must be submitted within 10 days from first day of work for Cemetery Authority."

    PLEASE NOTE: YOUR CERTIFICATION AND YOUR LICENSE ARE TWO DIFFERENT THINGS. If you have NOT applied for your LICENSE, you must submit your application for licensure to the Illinois Department of Financial and Professional Regulations Cemetery Overisght Department Immediately.

  • To view available course dates you must visit the link below and select a date:

    ICFHA Education & Certification Opportunities

     

    You must select a date from those available shown.
    This does not confirm your attendance until we send the registration to ICFHA.

    If there are no available dates, please insert TODAY'S DATE.

    You must attend a class within ONE YEAR of hire.

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  • Photo ID Required. NO CELL PHONES during class. Bring a black pen. Participants must sign in and out. Passing grade is a 70%. The ICFHA offers participants a course to obtain their CERTIFICATION, this is NOT your license. The license should be applied for with the Illinois Department of Financial and Professional Regulations Cemetery Oversight Department prior to applying for the Certification course. CLASSES ARE SUBJECT TO CHANGE WITHOUT NOTICE. Applicant's e-mail is necessary. Forms and payment must be received 10 business days before class. NO REFUNDS. IF YOU MISSED YOUR SCHEDULED CLASS, YOU WILL HAVE TO PAY ANOTHER CLASS FEE TO RESCHEDULE.



    Certification Course Schedule

    9:00 AM SIGN IN FOR MANAGERS ONLY.
    Course "Cemetery Protection Act" - Jason Moran (MANAGERS ONLY)
    Objective- An overview of the Cemetery Protection Act for Cemetery Managers only


    9:45 AM SIGN IN FOR CUSTOMER SERVICE EMPLOYEES
    Course "Cemetery Care Act & Disposition of Remains Act" - Stephen Morrill
    Objective- An overview of the Care Act and Dora for CMs and CSEs


    10:30 AM Course. "Cemetery Oversight Act" -Stephen Morrill
    Objective- An overview of the Cemetery Oversight Act for CMs and CSEs


    11:40 AM Course "Practical Applications of Ethics in the Death Care Services" - John Renfro
    Objective- A review of Ethics and how to handle hypothetical situations for CMs and CSEs


    12:15 PM Lunch Break Bring a lunch or plan to go out to lunch on your own.


    1:00 PM Course "Cemetery Practices" – Bryan Crain
    Objective- An overview of the best Practices to use while working in the Death Care Industry


    2:00 PM Test Cemetery Managers will have 100 question multiple choice test and 2 hours to complete. Customer Service Employees
    Wil have 50 question multiple choice test and 1 hour to complete.


    4:00 PM Class Concludes

    TIMES MAY VARY. You can download all the laws to study before certification date.

    Go to: www.ICFHA.org – Law

    -Effective: July 2021

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