Application For Notification Of State Of Emergency Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Application For Notification Of State Of Emergency Form. This is a West Virginia form and can be use in For Government Secretary Of State.
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Tags: Application For Notification Of State Of Emergency, EN-1, West Virginia Secretary Of State, For Government
Secretary of State
State Capitol
1900 Kanawha Blvd. East
Charleston, WV 25305
APPLICATION FOR
NOTIFICATION OF
STATE OF EMERGENCY
FEE: $25.00
1.
Company Name
3.
Address
4.
Phone Number
5.
Hrs: 8:30 am - 5:00 pm ET
Name
2.
Administrative Law Division
Tel: (304) 558-6000
Toll Free: 1-866-767-8683
Fax: (304) 558-0900
www.wvsos.com
Fax Number
Please select preferred
method of
notification.
Email Address
Mailing Address
(if different from
above)
6.
List specific
county(ies) of
interest
Or, entire state
5.
Signature:
Mail to:
Secretary of State
Administrative Law Division
Building 1, Suite 157K
1900 Kanawha Boulevard E.
Charleston, WV 25305-0770
Enclosed is a check for $25.00
Fax #:
(304) 558-0900
This is a change to my original filing,
enclosed is a check for $5.00.
Email
Address:
wvsos@wvsos.com
PRINT THIS COPY, THEN CLICK HERE TO RESET.
FORM EN-1
Issued by the Secretary of State, State Capitol, Charleston, WV 25305
Revised 1/05
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