License Verification, Qualifications and Forms
To verify a facility license or individual license or view the Roster of active licensees or facilities, click on the link below:
License Verification
The data is derived directly from the Board license database. The Board’s website at https://wvlicense.com/sites/wvFuneralServiceExaminers/licensesearch.cfm/ is considered a primary source for this data, which is the same information the Board provides through other means, such as phone, fax, or mail, and is true and complete to the best of the Board’s knowledge.
Pursuant to W. Va. Code §30-1-27, a person shall be granted an occupational or professional license, registration, or certificate if the person has been licensed or certified in another state, the license, registration, or certificate is in the same discipline and at the same practice level as the license, registration, or certificate for which the person is applying in this state and the person meets other conditions prescribed by W. Va. Code §30-1-27.
Qualifications
Click here for requirement of all licensees
Apprenticeship
Funeral Service
Funeral Director Only
Crematory Operator
Courtesy Card
WV Laws, Rule and Regulations Examination Guidelines
If you would like to make a complaint against a licensee or facility, please print the form below and submit to our office with all pertinent information
Individual and Facility Initial Application Forms
Funeral Service Application
FD Memo and Application
FD Reciprocity Memo and Application
Crematory Operator Application
Courtesy Card Application
Reciprocity Review Application
Reciprocity Application
Main Funeral Home Application
Branch Funeral Home Application
Crematory Application
Renewal Forms
Funeral Service Renewal Form
Crematory Operator Renewal Form
Courtesy Card Renewal Form
FD Reciprocity Memo and Application
Main Facility Renewal Form
Branch Facility Renewal Form
Crematory Renewal Form
Mortuary Service Renewal Form
FS Apprentice Renewal Form
FD Apprentice Renewal Form
Apprentice Forms
1st Quarter Evaluation
2nd Quarter Evaluation
3rd Quarter Evaluation
4th Quarter Evaluation
5th Quarter Evaluation
6th Quarter Evaluation
7th Quarter Evaluation
8th Quarter Evaluation
AFD Form D - Completion of Apprenticeship
AF-AE Form D - Completion of Apprenticeship
AF-AE Apprentice Application
FD Apprentice Application
Apprenticeship Application Supplement
Work Schedule
Dispositions Form
Funeral Directing Case Report
Embalming Case Report
Case Report Supplement
Personal Reference
Preceptor Change Form
Apprentice Checklist
WV LRR Study Material
Reinstatement Forms
Main Facility Reinstatement form
Branch Facility Reinstatement Form
Crematory Reinstatement Form
Funeral Service / Director Licensee Reinstatement Form
Crematory Operator Reinstatement Form
Courtesy Card Reinstatement Form
Miscellaneous Forms
Complaint Form
Inactive License Form
License verification form
Licensee-in-Charge Change Form
Operator-in-Charge Change Form
WV Laws, Rules & Regulations Application Form
Funeral Home Inspection Form
Crematory Inspection Form
CE Provicer New Application and Agreement
CE Provider Renewal Application and Agreement
Retiree Return to Work Form