Please use the Duplicate Licensure Document Application (PDF) form to request a duplicate:

• Wall License Certificate (Funeral Director)
• Pocket Card (Funeral Director)
• Firm Registration Certificate
• Resident Pocket Card (no fee required)

Pursuant to Public Health Regulation 77.6(h) (3), every registrant shall give notice in writing to the Department any change of their residence address within 10 days after such change of residence.

If you are registered with the Department and have recently moved, please complete the Address Change Form (PDF) and return it to the Department by one of the following methods:

• By Mail: New York State Department of Health
  Bureau of Funeral Directing
  875 Central Avenue
  Albany, NY 12206
• By Fax: 518-402-0784
• By Email: funeral@health.ny.gov

If you are registered with the Department, and your legal name has changed since registering, please complete the Name Change Form (PDF) and return to the Department by mail to:

• New York State Department of Health
  Bureau of Funeral Directing
  875 Central Avenue
  Albany, NY 12206

Included with the name change form you MUST include the following documents:

1. Copy of marriage certificate, divorce decree, or court document showing name change
2. Original Funeral Director Registration Card (i.e. pocket card) - $20 fee for replacement
3. Original Funeral Director Wall License - $20 fee for replacement
4. Original Funeral Firm Registration Certificate where you are a registered manager (if applicable) - $20 fee for replacement
5. One certified bank check, money order, or business check in the exact amount for all documents requested made payable to the NYS Department of Health.
   No personal checks, cash, or credit cards are accepted.