REGULATIONS
Vol. 41 Iss. 21 - June 02, 2025

TITLE 4. CONSERVATION AND NATURAL RESOURCES
DEPARTMENT OF ENERGY
Chapter 20
Forms

TITLE 4. CONSERVATION AND NATURAL RESOURCES

DEPARTMENT OF ENERGY

Forms

REGISTRAR'S NOTICE: Forms used in administering the regulation have been filed by the agency. The forms are not being published; however, online users of this issue of the Virginia Register of Regulations may click on the name of a form with a hyperlink to access it. The forms are also available from the agency contact or may be viewed at the Office of the Registrar of Regulations, General Assembly Building, 201 North Ninth Street, Fourth Floor, Richmond, Virginia 23219.

Title of Regulation: 4VAC25-20. Board of Coal Mining Examiners Certification Requirements.

Agency Contact: Larry Corkey, Policy and Planning Manager, Department of Energy, 1100 Bank Street, Eighth Floor, Richmond, VA 23219, telephone (804) 692-3239, or email larry.corkey@energy.virginia.gov.

FORMS (4VAC25-20)

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 Certification Examination, DM-CMS-01 (rev. 6/2024)

Verification of Work Experience, DM-CMS-02 (rev. 7/2024)

Verification of Training Completed for General Coal Miner Certification, DM-CMS-03 (rev. 7/2024)

Application for Recertification: DMLR Endorsement/Blaster's Certification, DMLR-BCME-3 (rev. 6/95 6/1995).

Verification for Training Completed for Continuing Education, DM-BCME-4 (rev. 10/05 10/2005).

Application for DMLR Endorsement: Blaster's Certification (Coal Surface Mining Operation), DMLR-BCME-4 (rev. 6/95 6/1995).

Advanced First Aid Practical Stations & and CPR (Written & and Practical), DM-BCME-5 (rev. 10/05 10/2005).

VA.R. Doc. No. R25-8313; Filed May 07, 2025