Application for Exam

Your full name and address must match your photo ID or you may be turned away from sitting for the exam.

Applicant Information

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List all states where you are licensed. Abbreviations are acceptable. You can also indicate "All 50 states" or "All states except Alaska." Please contact the REC by phone at (304) 558-3555 or by email at wvrec@wv.gov if you have questions about what to enter.

Contact Information

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Enter your full SSN with no dashes or spaces. Example: 123456789
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Enter your full SSN with no dashes or spaces. Example: 123456789
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Education Information

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300 Capitol Street | Suite 400 | Charleston, WV 25301 | Phone: (304) 558-3555 | Fax: (304) 558-6442
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