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Veterinarian Online Application

You must answer all questions completely and precisely. Misstatements, fraudulent, or insufficient answers and data required will be reason for rejection of your application.

Instructions

While you are in the online application, please do not use the back button in your browser. If at any time you wish to exit the process, please click the "Exit" button located at the bottom of the page.

If you will be away from your computer for any period of time after starting your online application, it is strongly advised that you click on the "Save for Later" button located at the bottom of each page to minimize the risk of losing the data that you have input into the system. You can then log back into the application at a later time by clicking on the Continue Saved Application button in the menu.

Upon completion of this application, you will be able to login, download a PDF of your application and access the Application Status checklist.

Applicant Information

Please provide your Mother's Maiden Name for identification purposes.

Birth Certificate

Please submit a certified copy of your birth certificate (photocopies will not be accepted) to:

WV Board of Veterinary Medicine
5509 Big Tyler Rd, Ste 3
Cross Lanes, WV 25313

Name Change

If birth name differs from current name, submit appropriate proof of name change such as a certified copy of marriage license (photocopies will not be accepted) to:

WV Board of Veterinary Medicine
5509 Big Tyler Rd, Ste 3
Cross Lanes, WV 25313

Photograph

Please upload a recent photo of yourself, approximately 2 by 2 inches in size such as a passport photo signed by you on the back. Please show back and front of photograph in uploaded file. Do not upload photos with multiple parties.

Click here for recommendations on uploading files.

Citizenship

Are you a citizen of the USA?
Have you applied for US citizenship?
Do you have a work permit?

Immigration

Naturalization

Please upload proof of naturalization or authority to reside and work in the United States. Click here for recommendations on uploading files.

Click here for recommendations on uploading files.




Page Updated: 9/6/2017 2:23:08 PM