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
Mine Inspector Area Map	PDF
Report Mine Safety Violation Poster	PDF

New Permit
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
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
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
Annual Tonnage Report	DMM-146
Contractor Annual Report	DMM-146C

Permit Amendment
Request for Amendment	DMM-113
Notice of Operator Intent	DMM-156

Uranium Exploration
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
Accident Form	DMM-104C

Contractor Forms
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
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