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://wvfuneralboard.com/resources/License-Verification-Roster 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.

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

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

2024 AF-AE Apprentice Application

2024 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 Licensee Reinstatement Form

Crematory Operator Reinstatement Form

Courtesy Card Reinstatement Form

Miscellaneous Forms

Inactive License 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