WVC 16 - 5 B- 3
§16-5B-3. Application for license.
Any person, partnership, association, or corporation, or any
local governmental unit or any division, department, board or
agency thereof desiring a license hereunder shall file with the
state department of health a verified application stating the
name of the applicant, and if the applicant is an individual, his
age; the type of institution to be operated; the location
thereof; the name of the person in charge thereof; and such other
information as the state department of health may require. An
application on behalf of a corporation, association or
governmental unit shall be made by any two officers thereof or by
its managing agents and shall contain like information. The
application shall be on a form prescribed, prepared and furnished
by the state department of health.