Forms and Applications

**ALL FEES ARE LOCATED IN LAWS TAB, 6 CSR 7 RULE**
APPRENTICE FORMS AND APPLICATIONS
1st Quarter Apprentice Evaluation	Funeral Directing Case Report
2nd Quarter Apprentice Evaluation	Embalming Case Report
3rd Quarter Apprentice Evaluation	Case Report Supplement
4th Quarter Apprentice Evaluation	Form B - Personal Reference
Apprentice Application	Form D - Certification of Completion of Apprenticeship
Apprentice Application Supplement	Preceptor Change Form
Apprentice Work Schedule	Apprentice Checklist
	Apprentice Study Material for WV Law Examination


CERTIFICATION FORMS
Inactive Certification Form


WEST VIRGINIA LAW EXAMINATION
West Virginia Law Examination Application


COMPLAINTS
Complaint Form

FUNERAL SERVICES AND FACILITY APPLICATIONS
New Funeral Services Director Application
New Main Facility Application New Branch Facility Application Mortuary Services Application LICENSEE-IN-CHARGE Change Form Reciprocity Review Application

RENEWAL FORMS

Funeral Service Renewal Form	Crematory Operator Renewal Form
Courtesy Card Renewal Form	Funeral Director ONLY Renewal Form
Main Funeral Home Renewal Form	Branch Funeral Home Renewal Form
Crematory Renewal Form	Mortuary Service Renewal Form

COURTESY CARD FORMS
Courtesy Card License Verification Form	Courtesy Card Initial Application

CREMATORY INFORMATION
Crematory application	Crematory Operator Application
Certified Cremation Education Provider	Application for Crematory Education Provider
Crematory Renewal Form	Crematory Operator Renewal Form
Crematory Operator In Charge Change Form

REINSTATEMENT FORMS
Main Facility Reinstatement Form	Branch Facility Reinstatement Form
Crematory Reinstatement Form	Individual Reinstatement Form
Facility Reinstatement Fees	Individual Reinstatement Fees

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