West Virginia Office of Miners' Health Safety and Training
Miner Certification and Training Applications
The
following links are intended to provide the West Virginia Mining industry
and the miners of the state with downloadable versions of the common
applications and documents required by WVMHS&T. Additional documents will be added as
necessary. General descriptions and instructions are listed with the form
links.
Our forms require Acrobat Reader
to view and
download. To download a free version of the current Acrobat Reader, follow the
link above.
Miner Certification Applications Certification applications must be completed in full and mailed to the appropriate office for processing. Many of the documents are two-sided, in those instances, both sides need to be completed in full.
A directory of WVMHS&T Offices can be found at the following page: WVMHST Offices. A schedule of miner certification examinations can be found by jumping to the following page: Exam schedules, and a list of certified instructors/ trainers may be found at: Certified Instructors.
General Certification
Applications
Miner Experience Document
Electrical
Certification Application
Shot-firer Application
Shaft
and Slope Shot-firer Experience Document
Gas Testing Application
Belt Examiner
Truck Driver Certification Application
Foreman & Supervisory Applications:
(Applicants must be a resident of or employed in the State of West Virginia)
Underground Mine Foreman
Application (This form has recently been revised - please follow the
instructional sheet included in the packet)
Surface Mine Foreman Application
Surface Foreman Certification Change Request
Underground Foreman Certification Change Request
Surface Construction Supervisor Application
Shaft and Slope Examiner (Foreman)
Application
Clay Mine
Foreman Application
Other Certification Documents (Instructor and Mine Rescue):
Underground
Foreman Continuing Education Inst. Application and
Criteria for Qualification, 
Questions & Answers
Blank Class Roster (.doc)
80 and 40 Instructor
Application
Physicians Examination Form - Mine Rescue
Team Member
Mine Rescue Instructor Application
Qualified Diesel Instructor Application
[MHS&T
Homepage] [
Publications Page] [ Frequently
Asked Questions]
[Forms Main Page] [Mining
Forms] [Independent Contractor Forms]
Note: The information obtained from these documents is accurate to the best of our knowledge and is not a substitute for current mining laws or regulations. The state is not liable for any damages resulting from any information that unintentionally may be inaccurate or untimely.
If you don't find the form you need, or if you have accessibility issues with our forms, please contact us by email (see the link below) and we will assist you. We have attempted to make our forms accessible as required by state and federal regulations.
©2004 West Virginia
Office of Miners' Health Safety and Training.
An official West Virginia State Agency Web site.
Read our
Privacy Statement. Contact
us
Date this page was last updated:
04/16/2008