Application for continuing education

L:\IA\POOL\www\docs\divs\hpsc\mortsci\dispositionapp.docxRev. 10/2015

Application for continuing education

Request for Letter of Non-Contagious

Embassies or consulates may require a letter of non-contagious before allowing shipment of a deceased body to another country. Funeral homes may request a letter of non-contagious from the Minnesota Department of Health. This letter verifies that the deceased body is not carrying communicable or contagious diseases or conditions and gives permission for the human remains to be shipped out of the United States.

We require at least 24 business hours after all required documentation is received to process a request. Requests will be held as we wait for all supporting documentation to arrive by email or fax. When all supporting documentation has been received in our office, we will review your request and begin the process of issuing a letter of non-contagious.

When requesting a letter of non-contagious, include the following supporting documents:

▪  Completed Request for Letter of Non-Contagious form.

▪  Copy of disposition permit.

▪  Copy of death certificate or a letter of non-contagious from the attending physician. If the death certificate is not available and there is no known attending physician, you can request a letter to be written by the medical examiner.

If you fax this request, please call the Department at 651-201-3839 to ensure that we have received your fax.

FUNERAL ESTABLISHMENT INFORMATION /
Employee Name / Establishment License Number
Address / City / State / Zip Code
Email Address
Phone Number / Fax Number
INFORMATION ABOUT DECEASED /
First Name / Middle Name / Last Name / Date of Death
Destination (City, State or Region, and Country)

Please indicate how you would the Minnesota Department of Health to transmit the completed letter to you:

☐ Fax the letter to the funeral establishment and mail the original to the funeral establishment.

☐ Email PDF copy of the letter to the funeral establishment and mail the original to the funeral establishment.

☐ Call funeral establishment to pick up the letter at 85 East Seventh Place, Suite 220, St. Paul, MN 55164.

☐ Mail the letter to the funeral establishment.

If you require an alternate format (i.e., large print), please call (651) 201-3829.

L:\IA\POOL\www\docs\divs\hpsc\mortsci\dispositionapp.docxRev. 10/2015