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

CHECKLIST FOR LICENSING
Checklist for applying for a license

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 2020 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

Crematory renewal 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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