| Name | County | Date | Also Named |
|---|---|---|---|
| Zackville | Wirt | 1849 | |
| Zada | Raleigh | 1911-1920 | |
| Zalia | Hancock | 1911 | |
| Zane | Marshall ? | ||
| Zane's Island | Ohio | Wheeling | |
| Zar | Preston | 1907 | |
| Zeda ? | Raleigh | 1907 | |
| Zeising | Harrison | 1920-1935 | Spelter ? |
| Zela | Nicholas | 1882 | |
| Zenith | Monroe | 1882 | |
| Zevely | Preston | 1935 | |
| Zigler (Zeigler) | Pendleton | 1911 | |
| Zinnia (Zennia ?) | Doddridge | 1882 | |
| Zinn's Mills | Preston | 1867 | See Browns Mill |
| Zion | Upshur | 1976 | |
| Zion Church | Doddridge | 1933 | |
| Zip | Cabell | 1907-1920 | |
| Zona | Roane | 1882 | |
| Zuleka | Monroe | 1935 |
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