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

FUNERAL SERVICES AND FACILITY APPLICATIONS

New Funeral Services Director Application  

New Facility Application

 

 

RENEWAL APPLICATION FORMS

Funeral Service Renewal Application Apprentice Renewal Application 
Crematory Operator Renewal Application Courtesy Card Renewal Application
Main Funeral Home Renewal Application Branch Funeral Home Renewal Application

 

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

 

RECIPROCITY LICENSE APPLICATION

                                                      Reciprocity License Application                               

 

CREMATORY FORMS

Crematory Application Crematory Operator Application
Operator-in-Charge Change Form Certified Cremation Education Provider
Application for Certified Cremation Education Provider  

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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