Mining Certification Forms
Click on the links below to access the documents you need. Make sure to follow the directions on completing each document accurately:
Drug Test Reporting DTR-1
Notification of an Occupational Injury EB-83
Mine License EB-4
Private Instructor Notification of Training
Surface and Underground Foreman, Surface and Underground Instructor, Assistant Foreman and Inspector Personal Data Sheet and Affidavit
Blaster Solid Conventional Affidavit 
Affidavit - Solid Blasting
Electrical Affidavit Electrical Affidavit
Hoist Engineer Personal Data Sheet and Affidavit
MET Training EF-16 MET Retraining
MET Application for Initial Training EF-18 MET Initial 40-hour Course EF-18
Application for Miner Certification EG-47 Application for Miner Certification EG-47
Certified EMT or certified EMT instructors who are exempted from challenging the MET examination Application for MET Certification EF-17
Class Enrollment Form for Private and Contract Instructors EF-6A Class Enrollment
MSHA Form 5000-23 MSHA Form 5000-23