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.​​

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​Qualifications​​ ​

Click h​ere for requirement of all licensees​

Apprenticeship               

Funeral Service ​         ​

F​uneral Director Only ​         ​

​​Crematory Operator​        

Courtesy Card

​WV Laws, Rule and Regulations Examination ​Guidelines​

Individual and F​acility Initial A​pplication 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    

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Apprentice Forms

1st Quarter Evaluation       

2nd Quarter Evaluation        

3rd Quarter Evaluation    

4th 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​


Miscellaneou​s 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​​​



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