Affidavit Of Competency For Resident Traineeship Funeral Service printable pdf download

Affidavit Of Competency For Resident Traineeship Funeral Service

AFFIDAVIT OF COMPETENCY FOR RESIDENT TRAINEESHIP

FUNERAL SERVICE

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In the matter of:

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AFFIDAVIT OF:

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____________________________,

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___________________________

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(Print Trainee Name)

(Print Supervisor Name)

I, _______________________, being first duly sworn, hereby depose and say as follows:

(Print Supervisor Name)

1. I am an adult over eighteen years of age and do not suffer from any physical or mental

conditions affecting my competency.

2. I am funeral service licensee # ______, and I am employed by ______________________.

(Name of Funeral Est.)

3. I have personally observed the above-named trainee perform various funeral service

activities, and am familiar with the above-named trainee’s skills and competencies in the

practice of funeral service.

4. I have personally observed the above-named trainee successfully and competently conduct

a funeral arrangements conference from start to finish.

5. I have personally observed the above-named trainee successfully and competently

supervise a funeral service from start to finish.

6. I have personally observed the above-named trainee competently ensure necessary

financial arrangements were made to provide the funeral goods and services selected.

7. I have personally observed the above-named trainee competently embalm decedents.

8. I have personally observed the above-named trainee consistently and competently use

universal safety precautions to prevent infectious disease.

9. I have personally observed the above-named trainee competently complete the following

activities during his or her traineeship:

a. At-need or preneed arranging, including all documents and records;

b. Imminent / pending death (hospice) arranging;

c. Observe sale of funeral service;

d. Assist with funeral or memorial or interment/committal ceremonies for casketed

remains;

e. Assist with funeral or memorial or interment/committal ceremonies for cremated

remains;

Affidavit Of Competency For Resident Traineeship Funeral Service