While you are in the application process please do not use the back button in your browser. If at any time you wish to exit the form, please click the "Cancel & Exit" button located at the bottom of the page.
Please login below to access the online questionnaire.If you are part of the IMLCC and WV is not your SPL, you will need to complete an application through the IMLCC site https://www.imlcc.org/ first.If you have not logged in before your initial password will be your last name and last 4 digits of your SSN combined with no spaces. Example: Test1234Please note the password is case sensitive. If you are having issues, please contact the board.