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

LICENSEE IN CHARGE CHANGE FORM

LIC FORM
 
WEST VIRGINIA LAW EXAMINATION
West Virginia Law Examination Application
 
COMPLAINTS
Complaint Form

                                                                              RENEWAL FORMS

Main Funeral Home Branch Funeral Home
Crematory Funeral Service Licensee
Crematory Operator Courtesy Card
Mortuary Service Apprentice
   
INITIAL INDIVIDUAL AND FACILITY APPLICATIONS
FUNERAL SERVICE LICENSE MAIN FUNERAL HOME
BRANCH FUNERAL HOME MORTUARY SERVICE

COURTESY CARD FORMS
Courtesy Card License Verification Form

Courtesy Card Initial Application

RECIPROCITY 

RECIPROCITY APPLICATION FORM

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 Crematory Operator Reinstatement Form

 REINSTATEMENT FORMS
Main Facility Reinstatement Form Branch Facility Reinstatement Form 
Crematory Reinstatement Form    Funeral Service Licensee Reinstatement Form
Crematory Operator Reinstatement Form Courtesy Card Reinstatement Form

INSPECTION FORMS

FUNERAL HOME INSPECTION FORM CREMATORY INSPECTION FORM
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