Appendix 9998. FORMS (4VAC25-20)


Latest version.
  • Application for Certification Examination, DM-BCME-1 (rev. 5/09).

    Verification of Work Experience, DM-BCME-2 (rev. 10/05).

    Verification of Training Completed for General Coal Miner Certification, DM-BCME-3 (rev. 5/09).

    Application for Recertification: DMLR Endorsement/Blaster's Certification, DMLR-BCME-3 (rev. 6/95).

    Verification for Training Completed for Continuing Education, DM-BCME-4 (rev. 10/05).

    Application for DMLR Endorsement: Blaster's Certification (Coal Surface Mining Operation), DMLR-BCME-4 (rev. 6/95).

    Advanced First Aid Practical Stations & CPR (Written & Practical), DM-BCME-5 (rev. 10/05).