[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-255325-105":53,"doc-detail-255325-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","official-electrical-experience-document","OFFICIAL ELECTRICAL EXPERIENCE DOCUMENT","","This document is an Official Electrical Experience Document for the State of West Virginia Office of Miners' Health, Safety and Training. It serves as an application form for electrical certification. The form requires the applicant to provide personal information, including name, SSN, address, and phone number, along with details about their previous electrical experience. This experience can be documented through reciprocity, in-state, or out-of-state experience, apprenticeship details, or an electrical engineering degree. Applicants must also specify the amount of low, medium, and high voltage electrical experience, as well as classroom training hours. Supporting documentation, such as copies of degrees or letters from companies, may be required depending on the applicant's qualifications. The document includes a disclaimer about making false statements, which is a misdemeanor punishable by fines or imprisonment. The form is intended to verify the applicant's knowledge and experience in areas applicable for electrical certification.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/official-electrical-experience-document/255325/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/official-electrical-experience-document/255325.png","ImageObject",442,249,{"name":88,"@type":89},"Clementine","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-26","2026-09-13",true,{"@type":98,"interactionType":99,"userInteractionCount":8},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What information is required on the Official Electrical Experience Document?","Question",{"text":108,"@type":109},"The document requires applicant information such as name, SSN, address, and phone number, as well as details about their electrical experience, including low/medium/high voltage experience, classroom training hours, and any relevant certifications or degrees.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What are the different ways to document electrical experience for certification?",{"text":113,"@type":109},"Electrical experience can be documented through reciprocity, in-state experience, out-of-state experience, apprenticeship details, or by submitting an electrical engineering degree with the required six months of experience. Previous electrical certifications and letters from company officials can also be attached.",{"name":115,"@type":106,"acceptedAnswer":116},"What are the penalties for making false statements on this application?",{"text":117,"@type":109},"Making false statements, representations, or certifications on this application is a misdemeanor. Conviction can result in a fine of up to $5,000.00, imprisonment in the county jail for not more than 6 months, or both.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},255325,1791550951,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":8,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":4},1374391974564,"https://ap-avatar.wpscdn.com/avatar/14000253aa45c000a9e?x-image-process=image/resize,m_fixed,w_180,h_180&k=1779874745381141002","Attach recent photograph or  \nCopy of Driver’s Liceense Cert. No.    \nDate of Issue   Certifiying Officer    \nState of West Virginia Office of Miners ' Health, Safety and Training  \n7 Players Club – Suite 2  \nCharleston, West Virginia 25311-1626  \nPhone: 304-558-1425 Fax: 304-558-1282  \n[www.wvminesafety.org](www.wvminesafety.org)  \nOFFICIAL ELECTRICAL EXPERIENCE DOCUMENT  \n\n| Company   Phone Number   Mine   Phone Number  \u003Cbr>Company Official Signature   Title   |\n| --- |\n| APPLICANT INFORMATION\u003Cbr>Name   SSN   Address   Phone Number  \u003Cbr>Underground Miner’s Certificate Number   Surface Miner’s Certificate Number   |\n| EXPERIENCE INFORMATION\u003Cbr>( ) Reciprocity\u003Cbr>( ) In-State Experience\u003Cbr>( ) Out-of-State Experience\u003Cbr>Apprentice Card   Date Issued   MIIN Number  \u003Cbr>Scheduled work days during Apprenticeship period   Days worked during Apprenticeship period   Amount of Electrical Experience (Low & Medium Voltage)  \u003Cbr>Amount of Electrical Experience (High Voltage)   Number of hours of classroom training  \u003Cbr>Instructor Signature Date\u003Cbr>( ) Electrical Engineering degree and six months experience (ATTACH COPY of DEGREE)\u003Cbr>( ) Previous Electrical Certifications: Underground   Surface   Prep Plant  ( ) Three or more years of electrical experience (ATTACH LETTER(s) FROM COMPANY OFFICIAL)\u003Cbr>I hereby certify that the above named applicant has demonstrated sufficient knowledge in the areas applicable for electrical certification.\u003Cbr>Signature Certified Electrician Certification Number |\n\n22A-1-21 (d) Whoever knowingly makes any false statements, representation, or certification in any application, record, report, plan or other document filed or required to be maintained pursuant to this law or any order or decision issued under this shall be guilty of a misdemeanor, an upon conviction thereof, shall be fined not more than $5,000.00 or imprisoned in the county jail not more than 6 months or both fined and imprisoned.","cbCaib6R3TUx49y1","https://ap.wps.com/l/cbCaib6R3TUx49y1","pdf",100671,"English","# APPLICANT INFORMATION\n# EXPERIENCE INFORMATION","[{\"question\":\"What information is required on the Official Electrical Experience Document?\",\"answer\":\"The document requires applicant information such as name, SSN, address, and phone number, as well as details about their electrical experience, including low/medium/high voltage experience, classroom training hours, and any relevant certifications or degrees.\"},{\"question\":\"What are the different ways to document electrical experience for certification?\",\"answer\":\"Electrical experience can be documented through reciprocity, in-state experience, out-of-state experience, apprenticeship details, or by submitting an electrical engineering degree with the required six months of experience. Previous electrical certifications and letters from company officials can also be attached.\"},{\"question\":\"What are the penalties for making false statements on this application?\",\"answer\":\"Making false statements, representations, or certifications on this application is a misdemeanor. Conviction can result in a fine of up to $5,000.00, imprisonment in the county jail for not more than 6 months, or both.\"}]","OFFICIAL ELECTRICAL EXPERIENCE DOCUMENT | PDF",1789288365]