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Forms

**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 2023	Form D - Certification of Completion of Apprenticeship
Apprentice Application Supplement	Preceptor Change Form
Apprentice Work Schedule	Apprentice Checklist
Apprentice Disposition form	Study Guide for WV Law Examination

**2 YEAR FUNERAL DIRECTOR ONLY APPRENTICESHIP APPLICATION**

**CLICK HERE**

**RECIPROCITY FUNERAL DIRECTOR ONLY 2 YEAR APPRENTICESHIP APPLICATION**

**CLICK HERE**
CERTIFICATION FORMS Inactive Certification Form
LICENSEE IN CHARGE CHANGE FORM LIC FORM OIC FORM LICENSE VERIFICATION REQUEST CLICK HERE


WEST VIRGINIA LAW EXAMINATION
West Virginia Law Examination Application


COMPLAINTS
Complaint Form

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
FUNERAL DIRECTOR ONLY	RECIPROCITY FD ONLY

COURTESY CARD FORMS

Courtesy Card License Verification Form

Courtesy Card Initial Application

**RECIPROCITY**

RECIPROCITY REVIEW APPLICATION FORM

CREMATORY INFORMATION
Crematory application	Crematory Operator Application
Crematory Renewal Form	Crematory Operator Renewal 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