Date this page was last updated:  08/20/2009

West Virginia Office of Miners' Health Safety and Training

Independent Contractors Permit Application Instructions and Procedures
Last revised:  08/20/09 01:33 PM

INDEPENDENT CONTRACTORS

Certificate of Approval Permitting Procedures

PLEASE READ INSTRUCTIONS CAREFULLY AS REQUIREMENTS HAVE CHANGED AS OF JULY 1, 2008:

ALL INFORMATION MUST BE SUBMITTED AND APPROVED PRIOR TO ANY WORK COMMENCING ON MINE PROPERTY.

            Submit the entire application package as listed below for the DMM-60C Certificate of Approval, completed in its entirety, to the Charleston Office, to include the following:

Miners’ Health, Safety & Training
Note: ALL FORMS MUST HAVE ORIGINAL COMPANY OFFICIAL'S SIGNATURE.

• DMM-60C      Certificate of Approval permit application
• Independent Contractor General Information sheet (Both pages MUST be completed, and include the last four digits of owner/officers Social Security number(s), as well as their title).  Permits will not be released without the owner information.
• Initial Submittal form for the Comprehensive Mine Safety Program AND a written Comprehensive Mine Safety Program, inclusive of the task specific sheet, must be submitted to the Safety Instructor (according to the company’s mailing address), in the closest MHS&T Regional office.
• Annual one hundred dollar ($100.00) non-refundable permit fee.

WV Division of Labor
PLEASE NOTE:  LABOR FORMS MUST HAVE ORIGINAL APPLICANT SIGNATURES

• DMM-1CC  Division of Labor  -  tracking sheet
• Affidavit          (Must be signed and notarized)  If the applicant company has been in business for less than five years, and has one or more employees, they may need to contact the Division of Labor about posting a Wage Bond.  Companies operated by the owner / operator are exempted from this requirement, but must still complete ALL paperwork.
• Division of Labor Exemption Request from the Contractors Licensing Act application.  Applicant company must have one of the following: (1) Exemption letter from the Division of Labor Contractors Licensing; (2) MHS&T tracking sheet indicating non-applicability; or (3) Certificate of Contractors License from the Division of Labor prior to release of MHS&T Certificate of Approval.  To inquire whether a license is required, the contractor may contact the Division of Labor at (304) 558-7890 and ask for the Contractors Licensing section.  Applicants will need to be very specific in describing the nature of the work to be performed.

WV Insurance Commission (Workers’ Compensation)

• Current Workers’ Compensation Certificate of Coverage.  Effective July 1, 2008, the Workers’ Compensation requirement has been expanded to allot for carriers that have made filings with the Rates and Forms Division of the Insurance Commissioner’s offices to verify coverage of applicant companies.  Out-of-state insurance carriers must either  register with the Insurance Commissioner’s office, or MUST show the West Virginia endorsement underwritten on their current policy.  If the intended contractor is conducting business in West Virginia for more than 30 days within a 365-day period, they MUST carry workers compensation coverage IN West Virginia.  For additional information, contact the WV Insurance Commissioner’s office at (304) 558-6279.

It is recommended that all paperwork submitted by the Independent Contractor should be copied and maintained for your own records.

            Please contact the Charleston MHS&T office before traveling to attempt to obtain your Certificate of Approval in the same day.  Our staff will inform you of the necessary paperwork you will be required to have with you to complete this endeavor, or inform you of the process you will need to complete while in Charleston.

            The Independent Contractor Certificate of Approval is valid for the calendar year, and the Comprehensive Mine Safety Program is valid for one year from the Anniversary Date.  All renewal forms are mailed approximately 30 days in advance to allow for the renewal and no lapse of permit coverage.

WV OFFICE OF MINERS’ HEALTH, SAFETY & TRAINING

  PERMITS ARE NON-TRANSFERABLE

*See Samples: Sample Contractor Permit

Contact Information:

WVMHS& T Charleston Office:

            Contractors:   Numbered, and A through J                           (304) 957-2316

                                    K through Z                                                    (304) 957-2313

WV Division of Labor                            www.wvlabor.org                  (304) 558-7890          
                                                                        Wage Bonding                        Ext. 128
                                                                        Contractors License               Ext. 161

WV Insurance Commission                   www.wvinsurance.gov          (304) 558-6279

WV Public Service Commission            www.psc.state.wv.us             (304) 340-0300

WV Department of Tax & Revenue      www.state.wv.us/taxdiv         (304) 558-3333

WV Secretary of State                            www.wvsos.com                     (304) 558-6000

WV Bureau of Employment Programs  www.wvbep.org/bep/uc          (304) 558-1281

The State of West Virginia and the West Virginia Office of Miners' Health Safety and Training does not maintain these sites and is not responsible for their content or management. If you would like to report a problem, please call the West Virginia Office of Miners' Health Safety and Training at 304.558.1425.

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