Board of Barbers and Hairdressers Applications & Forms Individual Applications Initial Individual Applications Hairdresser or Esthetician Application #08-4193, Revised 03/12/19 Includes application for temporary license. Barber and Non-Chemical Barber Application #08-4796, Revised 03/12/19 Includes application for temporary license. Hair Braiding Application #08-4782, Revised 03/12/19 Hairdressing Courtesy License #08-4697, New 12/30/16 Manicurist with Advanced Endorsement Application #08-4433, Revised 03/12/19 Manicurist Application #08-4728, New 7/7/17 Instructor Application #08-4189, Revised 06/21/19 Application for license as instructor by examination and by waiver of examination. For Barber, Non-Chemical Barber, Hairdresser, Esthetician, or Manicurist with Advanced Endorsement. Student and Apprentice Applications Student Enrollment Forms Student Enrollment Application #08-4192, Revised 03/12/19. For Barbers,Non-Chemical Barbers, Hairdressers, Estheticians, Student Instructors, Manicurist Advanced Endorsement. Apprentice Enrollment Application #08-4194, Revised 04/16/19. For Barbers, Non-Chemical Barbers, Hairdressers, and Estheticians. Includes initial application, re-enrollment, and transfer. Student Record for Manicuring (12 Hour Course) #08-4498, Revised 2/12/18. Barber and Hairdresser Student Forms Barber/Hairdresser Student/Apprentice Monthly Report Form. #08-4315, Revised 4/16/19. Barber/Hairdresser Student Affidavit of Completed Training. #08-4475, Revised 2/2/18. Barber/Hairdresser Student Notice of Termination of Training. #08-4195, Revised 2/2/18. Non-Chemical Barber Student Forms Non-Chemical Barber Student/Apprentice Monthly Report Form. #08-4798, Revised 03/14/19. Non-Chemical Barber Affidavit of Completed Training. #08-4799, Revised 03/14/19. Non-Chemical Barber Student Notice of Termination of Training. #08-4797, Revised 03/14/19. Esthetician Student Forms Esthetician Student/Apprentice Monthly Report Form. #08-4367, Revised 4/2000. Esthetician Student Affidavit of Completed Training. #08-4477, Revised 12/20/16. Esthetician Student Notice of Termination of Training. #08-4476, Revised 05/01/13. Manicurist with Advanced Endorsement Student Forms Manicurist with Advanced Endorsement Student Monthly Report Form. #08-4682, Revised 5/29/2018. Manicurist Endorsement Student Affidavit of Completed Training. #08-4680, Revised 5/29/18. Manicurist Endorsement Student Notice of Termination of Training. #08-4681, Revised 05/29/18. Student Instructor Forms Student-Instructor Monthly Report Form. #08-4497, Revised 2/1994. Student Instructor Affidavit of Completed Training. #08-4272, Revised 05/01/13. Student Instructor Notice of Termination of Training. #08-4199, Revised 05/12/06. Tattooing, Permanent Cosmetic Coloring, and Body Piercing Applications Initial Tattooing, Permanent Cosmetic Coloring, and Body Piercing Applications Application for Body Piercing, Tattooing or Permanent Cosmetic Coloring #08-4464, Revised 03/12/19. Courtesy License Application #08-4404, Revised 08/15/19 A Courtesy license authorizes an individual to practice body piercing or tattooing and permanent cosmetic coloring as a guest practitioner in a shop licensed by the board. Apprentice Application for Body Piercing, Tattooing or Permanent Cosmetic Coloring #08-4401, Revised 03/12/19. Tattooing Apprentice Reporting Forms Tattoo Trainee Monthly Report Form #08-4802, Revised 03/22/19. Completion of Student Training for Tattooing #08-4804, Revised 03/22/19. Termination of Student Training for Tattooing #08-4803, Revised 03/22/19. Permanent Cosmetic Coloring Apprentice Reporting Forms Permanent Cosmetic Coloring Monthly Report Form #08-4793, Revised 8/12/19. Completion of Student Training for Permanent Cosmetic Coloring #08-4795, Revised 3/12/19. Termination of Student Training for Permanent Cosmetic Coloring #08-4794, Revised 3/12/19. Body Piercing Apprentice Applications Body Piercing Trainee Monthly Report Form #08-4556, Revised 04/21/10. Certification of Completed Student Training for Body Piercing #08-4474, Revised 05/01/13. Termination of Student Training for Body Piercing #08-4558, New 05/01/13. State Approved Online Blood Borne Pathogen Courses Offered by the American Red Cross or an Equivalent Organization The Board has approved these ten online blood-borne pathogen courses: abovetraining.com blxtraining.com cathymontie.com eduwhere.com hsi.com icetraininginstitute.com pacificmedicaltraining.com probloodborne.com protrainings.com yourtrainingplace.com Information Aftercare Instructions and Educational Information For Tattooing and Permanent Cosmetic Coloring and Body Piercing #08-4339, Revised 04/08/10. School and Shop Applications School and Shop Owner Applications Shop Owner Application #08-4191, Revised 06/12/19. Individuals who own a shop performing one or more of the following services: hairdressing, barbering, esthetics, manicuring, body piercing, tattooing, and permanent cosmetic coloring. Visit the Division of Environmental Health's Food Safety and Sanitation Program website for useful sanitation information and resources for Tattoo and Piercing shops and Hair and Nails shops. Department of Environmental Conservation Regulations for Hair and Body Art Schools and Shops Application for School License #08-4190, Revised 03/12/19. Application for new school and branch. "Mobile Unit" Shop Owner Application #08-4462, Revised 10/5/16. For hairdressing, barbering, esthetics or manicuring services. Temporary Shop License Application #08-4463, Revised 09/10/15. For practitioners of Body Piercing or Tattooing and Permanent Cosmetic Coloring only. Change of Location Address for Shops Form #08-4546, 02/10/16. Change of Business Name for Shop Owner License Form #08-4547, 06/6/16. License Renewal Applications The following renewals are for the September 1, 2019-August 31, 2021 licensing period. Barber, Hairdresser, Non-Chemical Barber, Esthetician, Hair Braider #08-4619, Revised 05/21/19. Manicurist and Manicurist with Advanced Endorsement #08-4274, Revised 05/21/19. Instructor/Practitioner License Renewal #08-4156, Revised 05/21/19. School Owner License Renewal #08-4152, Revised 05/21/19. Shop Owner License Renewal #08-4157, Revised 05/21/19. Tattooing, Body Piercer, Permanent Cosmetic Colorist #08-4811, Revised 05/21/19. Miscellaneous Forms Authorization to Discuss and Share Information Change of Location for Shops Change of Business Name for Shops Name and/or Address Change, or Duplicate License Request for License Verification Request for Exemption from Social Security Number Requirement Credit Card Authorization Form Student Record for Manicuring (12 Hour Course) Student Record for Hair Braiding (35 Hour Course)