Form Wvdof Lsc F10 PDF Details

The Wvdof Lsc F10 form is a crucial document for anyone looking to become a certified logger under the West Virginia Division of Forestry. This comprehensive application not only asks for basic personal information such as name, contact details, and social security number—a mandatory field because of specific legal provisions—but it also requires details on the applicant's employer and their timber license number. What sets this form apart is its emphasis on education and safety, necessitating proof of completion in Best Management Practices, First Aid, and Chain-Saw and Tree-Felling Safety. Each of these courses is vital for ensuring that loggers operate within the state's rigorous safety and environmental standards. The form lays out a clear process for submission, including a fixed application fee, and details the privacy policy regarding the handling of personal information. It underscores the importance of the logging industry in West Virginia and the state's commitment to maintaining high standards within this sector. Applicants are guided through each step of the certification process, from education to payment, ensuring clarity and compliance with state laws—an essential procedure for those aiming to engage in the logging profession responsibly and legally within the state.

QuestionAnswer
Form NameForm Wvdof Lsc F10
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesForestry, WVDOF, logging tattoo ideas, LOGGER

Form Preview 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