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Get VA DM-BCME-1 2015-2024

The information in black ink and pay the nonrefundable fee with a certified check, cashier's check or money order made payable to the Treasurer of Virginia. Cash will be accepted if paid in person. Submit the application and fee to the Board of Coal Mining Examiners at least five working days prior to the date of examination. 1. Full Name 2. Address Street or P.O. Box 3. Date of Birth City State Home Phone No. ( Zip Code ) Month/Day/Year 4. Total years employed at a coal mine: Underground.

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