Free Wvdof Lsc F10 Template

The WVDof LSC F10 form is an application for certified loggers issued by the West Virginia Division of Forestry. This certification is valid for two years and requires the completion of specific training courses. If you are ready to apply, click the button below to fill out the form.

Access Editor

The Wvdof Lsc F10 form serves as a crucial application for individuals seeking certification as a logger in West Virginia. This form is specifically designed for the West Virginia Division of Forestry and is valid for two years, starting from July 1. Applicants must provide essential personal information, including their name, contact details, and Social Security number, which is mandatory for identity verification. The form also requires applicants to disclose their current employer's name and Timber License number. A key aspect of the application is the certification of completion for specific training courses, such as Best Management Practices, First Aid, and Chain-Saw and Tree-Felling Safety. Each training must be documented with the corresponding dates and locations. Additionally, the form includes a privacy notice, emphasizing the collection and potential sharing of personal information in compliance with state and federal laws. To complete the application, individuals must submit a fee of $150, payable to the West Virginia Division of Forestry, along with the top copy of the application. This process ensures that only qualified individuals receive certification, promoting safety and professionalism within the logging industry.

Wvdof Lsc F10 Example

WVDOF-LSC-F10(4/13)

(For DOF use only)

APPLICATION FOR CERTIFIED LOGGER

West Virginia Division of Forestry

(Certification Valid for 2 years starting July 1)

Name:		Telephone: (		)

Please Print or Type

Mailing Address:

Street or Route and Box Number

Town or City

State

Zip

Social Security No:

Pursuant to Section 7 of the Privacy Act of 1974, your disclosure of your social security number is mandatory. Social security numbers are required by us for identity purposes. Failure to provide a SSN will result in your application being returned as incomplete. We have authority to solicit your social security number because of W.Va. Code §§19-1B-4,5 and/or 6.

Current Employer's Name

& Timber License Number:

(If new company or self employed please list name of company)

I hereby certify that I have satisfactorily completed the following classes conducted or approved by the West Virginia Division of Forestry in:

Best Management Practices (BMP's)	Place:
	Date:
First Aid - Proof required (Attach copy	Place:
of valid card or certificate - front & back)	Date:
Chain-Saw and Tree-Felling Safety	Place:
	Date:

SignatureDate

PRIVACY NOTICE: The WV Division of Forestry collects and processes certain personal information as needed for appropriate and customary business purposes. Personal information may be disclosed to other State agencies or third parties as necessary in the normal course of business or to comply with federal or state laws, including Freedom of Information Act requests. If you have questions

For DOF use only

Check No:

Date:

Amount:

Date Approved:

Enclose a check or a Money Order or $150 made payable to "WVDOF".

Mail check and top copy of application to:

West Virginia Division of Forestry 1900 Kanawha Boulevard, East Charleston WV 25305-0181 304-558-2788

Copy distribution: Top-WVDOF/ Bottom-Applicant

▼ Wvdof Lsc F10 PDF

Document Specs

Fact Name	Description
Form Title	The form is officially titled "APPLICATION FOR CERTIFIED LOGGER." It is used by the West Virginia Division of Forestry.
Form Version	This version of the form is WVDOF-LSC-F10, and it was last updated in April 2013.
Validity Period	The certification obtained through this application is valid for two years, beginning on July 1 of the year it is issued.
Social Security Number Requirement	Applicants must provide their Social Security Number (SSN) as it is mandatory under the Privacy Act of 1974.
Governing Law	The collection of SSNs is authorized by West Virginia Code §§19-1B-4, 5, and/or 6.
Employer Information	Applicants are required to list their current employer's name and timber license number, or indicate if they are self-employed.
Training Requirements	Applicants must certify completion of specific training classes, including Best Management Practices, First Aid, and Chain-Saw and Tree-Felling Safety.
Payment Instructions	A fee of $150 is required, payable by check or money order to "WVDOF." The payment must accompany the application.
Mailing Address	Completed applications should be mailed to the West Virginia Division of Forestry at 1900 Kanawha Boulevard, East Charleston, WV 25305-0181.
Privacy Notice	The West Virginia Division of Forestry collects personal information for business purposes and may disclose it to other agencies or third parties as required by law.

Please rate Free Wvdof Lsc F10 Template Form

4.9

(First-rate)

21 Votes

Popular PDF Forms

Wvhro - Typing speed, while a minor detail, could be a deciding factor for certain administrative or clerical positions within the WVNG.

In addition to understanding the Texas TREC Residential Contract form, it can be beneficial to access resources that simplify the process of completing the document. Utilizing tools such as Texas PDF Forms can enhance your efficiency and ensure that all necessary information is correctly filled in, thereby reducing potential issues during the transaction.

Wv Circuit Court Forms - The step-by-step structure of the WV MIP-31 form removes ambiguity, providing a straightforward path for employers to support veterans’ reintegration into civilian life.

How to Terminate a Restraining Order in California - Designed for employers to protect employees from potential harm at the workplace through legal means.