PRINTABLE FORMS
The Division of Mineral Mining offers an electronic forms submittal system, DMM e-Forms Center which allows permitted operators and independent contractors to file required forms rapidly and efficiently. If you prefer to do business in paper, most of our forms are available here for downloading and printing. Printable forms should be mailed or faxed back to the Division. These forms may also be obtained by contacting us. See Contact Us for mailing address and phone number.
Posters |
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Mine Inspector Area Map | ||
Report Mine Safety Violation Poster |
New Permit |
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Permit/License Application | DMM-101 | |
Permit/License Application For Sand & Gravel < 10 Acres Only | DMM-168 | |
Notice of Application to Mine | DMM-103 | |
Bond Form | DMM-107 | |
Irrevocable Letter of Credit Form | DMM-108 | |
Certificate of Deposit | DMM-169 | |
Map Legend | DMM-109 | |
Contractor Identification Form | DMM-166 | |
Virginia Requirements for New Permits | Brochure | |
Fees |
Permit Renewal |
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License Renewal Application | DMM-157 | |
Yearly Progress Report | DMM-105 | |
Map Legend | DMM-109 | |
Statement of no map changes | DMM-164 | |
Surety Rider | DMM-167 | |
Contractor Identification Form | DMM-166 | |
Fees |
Permit Transfer |
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License Renewal Application | DMM-157 | |
Relinquishment of Mining Permit | DMM-112 | |
Permit Transfer Acceptance Form | DMM-161 | |
Annual Tonnage Report | DMM-146 | |
Fees |
Annual Reporting |
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Annual Tonnage Report | DMM-146 | |
Contractor Annual Report | DMM-146C |
Permit Amendment |
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Request for Amendment | DMM-113 | Notice of Operator Intent | DMM-156 |
Uranium Exploration |
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Application for Uranium Exploration Permit | DMM-U-1 | |
Uranium Exploration Hole Report of Plugging Completion | DMM-U-5 | |
Exploration Hole Plat Certification Legend | DMM-U-6 | |
Uranium Exploration Drill Hole Completion | DMM-U-7 | |
Uranium Exploration Surety Bond | DMM-U-B |
Accident Reporting |
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Accident Form | DMM-104C |
Contractor Forms |
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Contractor Registration/Update | DMM-166 | |
Annual Report for Contractors | DMM-146c | |
Instructions for Annual Report for Contractors | Instructions | |
Virginia Requirements for Independent Contractors | Brochure |
Certification Forms |
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Application for Certification Examination | DMM-BMME-1 | |
Verification of Work Experience | DMM-BMME-2 | |
Application for Renewal | DMM-BMME-3 | |
Application for DMM Reciprocity | DMM-200 | |
Instructions for GMM Roster for Outside Instructors | Brochure |
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