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

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

   1. a. Current name and any prior name or alias;
   2. b. Current address, telephone number, and social security number;
   3. c. Date and place of birth; and
   4. d. Former addresses, including dates of residence, for seven years immediately preceding the date of the application;
3. 3. The total amount of trust funds, including accrued interest, for 12 months immediately preceding the application date;
4. 4. The total number of currently existing prearranged funeral agreements entered into before January 1, 1985;
5. 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. 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:

   1. 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
   2. b. Been issued a judgment or consent order for consumer fraud, securities violation, or civil racketeering;

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

   1. a. The charged felony or misdemeanor;
   2. b. Date of conviction or judgment;
   3. c. Court having jurisdiction over the felony or misdemeanor;
   4. d. Probation officer’s name, address, and telephone number, if applicable; and
   5. e. A copy of the notice of expungement, if applicable; and
   6. f. A copy of the notice of restoration of civil rights, if applicable; and
8. 8. A notarized statement signed by the owner and designated funeral director verifying the information on the application is true and correct.

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 Department that contains the fee required by the Department, information required in A.R.S. § 32-1391.12, and an application form that contains:

Historical Note

New Section R9-9B-302 recodified from R4-12-205 and amended at 32 A.A.R. 177 (January 9, 2026), effective January 1, 2026 (Supp. 25-4).