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179 Summers Street, Suite 319
Charleston, West Virginia 25301
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  • Funeral Director & Embalmer Applicants
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  • Funeral Establishments
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  • Crematories & Crematory Operators
    • Qualifications- Requirements
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  • Cremation Education
    • Operator Continuing Education Requirements
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  • Continuing Education
    • Approved 2019 Continuing Education Providers
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Forms and Applications

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
CERTIFICATION FORMS
Inactive Certification Form
COMPLAINTS
Complaint Form
CONTINUING EDUCATION FORMS
Attendance Form Approved 2016 Continuing Education Providers
Continuing Education Provider Application
COURTESY CARD FORMS
Courtesy Card License Verification Form Courtesy Card Initial Application

CREMATORY FORMS

Crematory Application Crematory Operator Application
Operator-in-Charge Change Form Certified Cremation Education Provider
Application for Certified Cremation Education Provider
ESTABLISHMENT FORMS
Branch Funeral Home Application Main Funeral Home Application
Licensee-in-Charge Change Form
LICENSE REINSTATEMENT FORMS
Individual License Facility License
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