License Verification, Qualifications and Forms

​​​DUE TO TECHNICIAL ISSUES, THE LICENSE VERIFICATION SEARCH AND ROSTER INFORMATION ARE NO LONGER AVAILABLE.  EMAIL THE OFFICE FOR VERIFICATIONS OR ROSTER LISTINGS AT WVFUNE​RALBOARD@WV.GOV​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​

To verify a facility lice​nse 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.​​

​​​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 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​

IF YOU WOUILD LIKE TO FILE A COMPLAINT AGAINST A LICENSEE OR FACILITY, PLEASE PRINT THE FORM BELOW AND SUBMIT TO OUR OFFICE WITH ALL PERTINENT INFORMATION.​

COMPLAINT FORM​

​

​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​    

                ​​​​​​​​

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​​​

Miscellaneou​s 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​​

​​

​

​       

​​

​

​​​

​
​​​
​