Forms & Links

Practitioners

Forms & Links

DVM Forms

Licensure Application for Veterinarians	192 KB
NAVLE Application	137 KB
Veterinary License Applicant Checklist	154 KB
Criminal Background Check Instructions - WV	108 KB
Criminal Background Check Instructions - Out of State	115 KB
Veterinarian Continuing Education Guidelines	109 KB
Veterinary Renewal	192 KB
Inactive/Expired License Reactivation for Veterinarians Renewal Form	188 KB
Inactive Application License Checklist	110 KB
Reactivation of Expired Veterinary License Checklist	134 KB
WV Verification Request Form	47 KB
CE Hardship Extension Request	45 KB
CE Approval Request	81 KB
Name & Address Change	115 KB
Specialties	109 KB
Temporary Emergency License	158 KB
Reportable Diseases	22 KB
Controlled Substance & Opioid Questions/Answers	118 KB
Practice Act - Effective July 1, 2020	731 KB
Certification of Copy	51 KB
DEA Biennial Inventory Template	31 KB
DEA Initial Inventory Template	31 KB
Petitition fo Determination of Initial License	115 KB

CAET Forms

CAET Application	178 KB
CAET Application Checklist	148 KB
CAET Continuing Education Guidelines	48 KB
CAET Renewal	161 KB
CE Hardship Extension Request	45 KB
Name & Address Change	115 KB
CE Approval Request	81 KB
Animal Euthanasia Annual Total Report	108 KB
CAET New Approved Sedative Drug Handout	110 KB
Criminal Background Check Instructions - WV	108 KB
Dexdomitor Canine Dosing Chart	133 KB
Dexdomitor Feline Dosing Chart	482 KB
DEA Initial Inventory Template	31 KB
DEA Biennial Inventory Template	31 KB
Certification of Copy	51 KB
Practice Act – Effective July 1, 2020	731 KB
Petitition fo Determination of Initial License	115 KB

RVT Forms

RVT Application	187 KB
RVT Application Checklist	155 KB
RVT CE Guidelines	104 KB
RVT Renewal	161 KB
RVT Reactivation Checklist	140 KB
WV Verification Request Form	47 KB
CE Hardship Extension Request	45 KB
CE Approval Request	81 KB
Name & Address Change	115 KB
Temporary Emergency Registration	158 KB
Practice Act - Effective July 1, 2020	731 KB
Certification of Copy	51 KB
Petitition fo Determination of Initial License	115 KB
Reactivation of Expired Veterinary Technician Registration Checklist	144 KB
Criminal Background Check Instructions - WV	108 KB
Criminal Background Check Instructions - Out of State	115 KB

Facility

Facility Registration and Renewal	116 KB
Animal Euthanasia Registration and Renewal	104 KB
Patient Medical Record Inspection Guidance	108 KB
Ambulatory Inspection Breakdown	83 KB
Ambulatory Inspection Policy	435 KB
Ambulatory Inspection Form	72 KB
Mobile Facility Additional Requirements 010418	232 KB
Animal Euthanasia Facility Opened Container Log	314 KB
Animal Euthanasia Facility Unopened Container Log	311 KB
Animal Euthanasia Inspection Form	66 KB
Veterinary Facility Inspection Form	96 KB
DEA Registered Reverse Distributors	255 KB
DEA Biennial Inventory Template	31 KB
DEA Initial Inventory Template	31 KB
Label Requirements	72 KB
WV Board of Pharmacy Controlled Substance Register	155 KB
Patient Record Template – Minimum Requirements	67 KB
Controlled Substance Register	57 KB
Abandoned Animal	77 KB

Helpful Links

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Quick Links

WV Board of Veterinary Medicine
5509 Big Tyler Rd, Ste 3
Cross Lanes, WV 25313
Phone: 304-776-8032
Email: Contact Us