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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