LOUISIANA CEMETERY BOARD 3445 N. Causeway Boulevard, Suite 700 Metairie, Louisiana 70002 Telephone (504) 838-5267 Toll Free (866) 488-5267 Fax (504) 838-5289 APPLICATIONS The following forms are available for you to download. You will need the Adobe® Acrobat Reader to view them. Application to Determine Exempt Status This application is to determine if a cemetery qualifies for an exemption under R.S. 8:78. It is not an application to license the cemetery or issue a Certificate of Authority. Application to Determine Exempt Status Instructions (Revised 7/06) Application to Determine Exempt Status (Revised 7/06) Application for Certificate of Authority Instructions for Application for Certificate of Authority (Revised 5/99) Application for Certificate of Authority (Revised 5/99) Individual's Questionnaire for Certificate of Authority (Revised 5/99) Corporate Questionnaire for Certificate of Authority (Revised 5/99) Act of Dedication Model - Perpetual Care Trust Agreement Model - Merchandise Trust Agreement Application for Certificate of Authority for Publicly Owned Cemeteries Instructions for Application for Certificate of Authority for Publicly Owned Cemeteries (Revised 5/99) Application for Certificate of Authority for Publicly Owned Cemeteries (Revised 5/99) Act of Dedication Model - Perpetual Care Trust Agreement Model - Merchandise Trust Agreement Application for License as a Cemetery Sales Organization (CSO) - Cemetery Management Organization (CMO) Instructions for Application for License as a Cemetery Sales Organization - Cemetery Management Organization (Revised 5/99) Application for License as a Cemetery Sales Organization - Cemetery Management Organization (Revised 5/99) Individual's Questionnaire for CSO/CMO (Revised 5/99) Corporate Questionnaire for CSO/CMO (Revised 5/99) Application for Exempt Certificate of Authority Fraternal Cemeteries, Municipal Cemeteries, Community Cemeteries, State Cemeteries, Federal Cemeteries and Religious Cemeteries that do not sell cemetery spaces, sell the right of use or interment in any cemetery space, or charge a maintenance fee per cemetery space for an amount in excess of three hundred dollars, qualify for an Exempt Certificate of Authority. Instructions for Application for Exempt Certificate of Authority (Revised 5/99) Application for Exempt Certificate of Authority (Revised 5/99) Act of Dedication Application for Family Burial Ground A Family Burial Ground means a cemetery in which no lots are sold to the public and in which interments are restricted to a group of persons related to each other by blood or marriage. Instructions for Application for Family Burial Ground (Revised 5/99) Application for Family Burial Ground (Revised 5/99) Act of Dedication for a Family Burial Ground Application for Pre-Construction Sales Project Instructions for Application for Pre-Construction Sales Project (Revised 7/05) Application for Pre-Construction Sales Project Instructions for Pre-Construction Sales Project Completion Notification Pre-Construction Sales Project Completion Notification Conversion Questionnaire This questionnaire is to determine if a change in ownership or control has occurred when a licensed cemetery authority converts from a corporation to a limited liability company (llc). If it is determined that a change in ownership or control has occurred, a new application for certificate of authority will have to be completed as provided for by R.S. 8:76. Conversion Questionnaire Instructions (Revised 11/06) Conversion Questionnaire (Revised 11/06)