West Virginia Office of Miners' Health Safety and Training

Information and Forms
for 
Certified Instructors
 

Requirements for Apprentice Miner Class: PDF

80 and 40 Hour Instructor Application: 80 and 40 Instructor Application

Daily Attendance Record - Apprentice Classes: .Doc (word)

Apprentice Miner Training Information Form and Roster: PDF or .DOC (Word)

Apprentice Miner Affidavit: PDF  or  .DOC (Word)

Certified Instructor Update Form: .DOC (Word)

Memo to Industry concerning: Listing of Certified Trainers in West Virginia

Web Listings for Certified Instructors (offering classes to the general public): In West Virginia   Out of State

NOTE To 80 and 40 hour Instructors: Notify this office immediately if you have a change of address or contact information. You can use the update form for such changes.

Our forms require Acrobat Reader    to view and download. To download a free version of the current Acrobat Reader, follow the link above.

Last revised:  06/12/08 02:37 PM

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