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Get Msha West Virginia Independent Contractor Renewal Form

Inesafety.org/contrfrm.htm Your 2013 extension renewal fee and any outstanding penalty assessments can be paid with a Visa or MasterCard at http://www.wvminesafety.org/epay.htm. Please provide copies of any online payment confirmations along with the renewal forms. Please submit your completed application for extension and $100 renewal fee to the following address: WV Office of Miners Health, Safety and Training # 7 Players Club Drive Suite 2 Charleston, WV 25311-1626 ATTN: CONTRACTORS A.

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