Ariz. Admin. Code § 4-12-205

Current through Register Vol. 30, No. 45, November 8, 2024

Section R4-12-205 - Application for a Prearranged Funeral Sales Endorsement

An owner and the owner's responsible funeral director applying for a prearranged funeral sales endorsement for a funeral establishment shall submit an application packet to the Board that contains the fee required by the Board, information required in A.R.S. § 32-1391.12, and an application form that contains:

1. The funeral establishment's name, mailing address, and telephone number;

2. The funeral establishment's designated funeral director's, manager's, corporate officers', owner's, trustee's, or any controlling person's:

a. Current name and any prior name or alias;

b. Current address, telephone number, and social security number;

c. Date and place of birth; and

d. Former addresses, including dates of residence, for seven years immediately preceding the date of the application;

3. The total amount of trust funds, including accrued interest, for 12 months immediately preceding the application date;

4. The total number of currently existing prearranged funeral agreements entered into before January 1, 1985;

5. The total number of prearranged funeral agreements sold by the funeral establishment for the calendar year immediately preceding the date of the application;

6. Whether the designated funeral director, a manager, a corporate officer, a trustee, or an owner, within seven years preceding the date of application, in any state or federal jurisdiction, has:

a. Been convicted of or entered into a plea of no contest to a felony or to a misdemeanor involving dishonesty, fraud, deception, misrepresentation, embezzlement, or breach of fiduciary duty; or

b. Been issued a judgment or consent order for consumer fraud, securities violation, or civil racketeering;

7. The name, address, alias, and telephone number of each individual named in subsection (6) and the following:

a. The charged felony or misdemeanor;

b. Date of conviction or judgment;

c. Court having jurisdiction over the felony or misdemeanor;

d. Probation officer's name, address, and telephone number, if applicable; and

e. A copy of the notice of expungement, if applicable; and

f. A copy of the notice of restoration of civil rights, if applicable; and

8. A notarized statement signed by the owner and designated funeral director verifying the information on the application is true and correct;

Ariz. Admin. Code § R4-12-205

Former Section R4-12-29 amended and renumbered as Section R4-12-205 effective June 16, 1981 (Supp. 81-3). Section repealed; new Section adopted by final rulemaking at 7 A.A.R. 1441, effective March 14, 2001 (Supp. 01-1).