OAR 441-930-0210
Application for Certification


Each entity desiring to obtain a certification shall apply by submitting a written application with the director.


An application must contain the following on or with a form prescribed by the director:


A list of all officers, directors, and owners of the business;


Information concerning the applicant’s identity and business address(es);


If the applicant is an individual or sole proprietorship, the applicant’s social security number. Provision of this number is mandatory and failure to provide the applicant’s social security number shall be considered grounds for denying certification to the applicant.


The business, professional or work history of all persons identified in subsection (2)(a) of this rule;


Proof that the entity is legally qualified to conduct business in this state, having made the appropriate filings with the Secretary of State;


The master trustee and depository(ies) the applicant intends to use for funds received from the sale of the prearrangement plans;


For certified providers who place trust funds in a depository and will not be using a master trustee for long-term trust investment, financial statements including:


A copy of the applicant’s most recent audited financial statement, including balance sheet, statement of income or loss, statement of changes in shareholder equity and statement of changes in financial position. All financial statements must be prepared by an independent certified public accountant in accordance with generally accepted accounting principles; and


If the audited financial statement is more than six months old, an internally prepared statement for the most recent month;


A list of prearrangement plans to which the applicant was a party at the date of application; and


A certification fee as set in OAR 441-930-0270 (Fees Assessed to Certified Providers and Registered Master Trustees).


The director may conduct a background check of any officer, director, or owner applying for certification. The background check may include information solicited from Oregon State Police.


Authority for operation as a certified provider is continuing and remains in effect until surrendered by the provider or revoked or suspended by the director.

Source: Rule 441-930-0210 — Application for Certification, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=441-930-0210.

Last Updated

Jun. 8, 2021

Rule 441-930-0210’s source at or​.us