Submit Comment or Complaint

Name*

First Last

Phone

Email*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Funeral Home*

Location

Name of Licensee

Name of Deceased

Your Relationship to Deceased

Date of Death

Please outline the nature of your comment or Concern*

If this is a concern, have you attempted to resolve this matter with the funeral home or the licensee? If so, what was the result?

What would you like to see as a solution to resolving this matter?

May we share this document and your name with the funeral home, or if necessary, another regulatory body?*

How did you learn about the Funeral & Cremation Services Council?

Name

This field is for validation purposes and should be left unchanged.

Username:
Password: