W. Va. Code 16-4C-8(h)
Temporary Emergency Medical Service Personnel Certificate
The Commissioner of the West Virginia Bureau for Public Health can issue a temporary emergency medical service personnel certificate to an individual without an examination if it serves the public interest. The certificate lasts 120 days and can only be renewed on the Commissioner’s discretion.
Standards for emergency medical service personnel
(h) The commissioner may issue a temporary emergency medical service personnel certificate to an applicant, with or without examination of the applicant, when he or she finds that issuance to be in the public interest. Unless suspended or revoked, a temporary certificate shall be valid initially for a period not exceeding one hundred twenty days and may not be renewed unless the commissioner finds the renewal to be in the public interest.