Form 08 4153 PDF Details

Navigating the renewal process for a hairdresser license in the State of Alaska is made clear through the detailed instructions provided in the 08 4153 form issued by the Department of Commerce, Community, and Economic Development Division of Corporations, Business and Professional Licensing Board of Barbers and Hairdressers. This essential document outlines the critical steps, deadlines, and requirements for licensed professionals looking to continue their practice without interruption. It highlights the urgency of renewing before the current license expires on August 31, 2011, emphasizing that practicing with an expired license is not permissible and carries legal repercussions. The form serves as the sole notice for renewal, pointing out that complete applications and the corresponding fee must be submitted by July 31, 2011, to avoid processing delays. Furthermore, it discusses the specifics regarding mailed forms, including a caution against sharing the form due to its barcode uniqueness, and addresses vital issues like name changes, reinstating expired licenses, and compliance with social security number disclosure requirements. Additionally, the document sheds light on potential consequences for those behind on child support or student loans, offering a temporary license solution while urging prompt resolution. Public access to the information provided in the renewal form, separate renewal procedures for business licenses, and how to stay informed about regulatory changes are also elaborated upon, ensuring hairdressers are well-informed and compliant in maintaining their licensure.

QuestionAnswer
Form NameForm 08 4153
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesbah4153 hairdresser license form

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BAH

Department of Commerce, Community, and Economic Development

Division of Corporations, Business and Professional Licensing

Board of Barbers and Hairdressers

P.O. Box 110806, Juneau, Alaska 99811-0806

Phone: (907) 465-2547 E-mail: license@alaska.gov

Website: www.commerce.state.ak.us/occ/pbah.htm

HAIRDRESSER LICENSE RENEWAL

September 1, 2011 – August 30, 2013

IT IS TIME TO RENEW YOUR HAIRDRESSER LICENSE

Your license to practice as a hairdresser in the State of Alaska expires on August 31, 2011. It is illegal for you to practice if your license has expired. There is no grace period. To renew your license for the period from September 1, 2011, through August 31, 2013, return this signed application to the above address with a check or money order payable to the State of Alaska (or use the attached credit card form). This is the only renewal notice you will receive. Incomplete applications or insufficient fees will result in your renewal being rejected.

RENEWAL DUE DATE - The processing time for correct and complete renewal applications is three to four weeks after receipt. Plan accordingly and submit your form by July 31, 2011 to ensure processing by the lapse date of August 31, 2011.

MAILED RENEWAL FORMS - If you received this renewal application in the mail with a barcode in the upper right hand corner of the first page, do not duplicate this form for another professional’s use. The barcode is specific to your name and license number. Forms without the barcode are available on our website at http://commerce.alaska.gov/occ/pbah.htm

NAME CHANGE - If you have had a legal name change since your last license was issued, complete the Change of Name form on the reverse side and attach a copy of the legal document (marriage certificate, divorce decree, etc.) as proof of the change.

EXPIRED LICENSES - If you choose not to renew your license before it expires, you may reinstate the license within three years after the expiration date. Licenses which have expired more than three years cannot be reinstated. See 12 AAC 09.930. You may not practice on an expired license.

SOCIAL SECURITY NUMBER - Under AS 08.01.100(e) a license may not be renewed if the licensee’s United State Social Security Number is not on file. If you do not have a social security number, you must complete the form “Request for Exception from Social Security Number Requirement” located on the division’s website at: www.commerce.state.ak.us/occ or contact the division office for the form.

(CONTINUED ON REVERSE SIDE)

$160.00 – Hairdresser License (Haircare only)

(Make check or money order payable to the State of Alaska.)

Name:

Last

First

Middle

Corrected Mailing Address (complete only if your address is different than the address label shown above or if there is no label):

Daytime Telephone Number:

 

License Number:

 

Social Security Number:

 

Date of Birth:

 

I certify that the information in this application is true and correct.

 

 

 

 

 

SIGN HERE

 

 

 

 

 

 

 

 

 

Applicant's Signature

Date:

WARNING: The Board of Barbers and Hairdressers may deny, suspend, or revoke the license of a person who has obtained or attempted to obtain a license to operate a shop by fraud or deceit. The person may also be subject to criminal charges for perjury or unsworn falsification. (AS 11.56.210 and AS 11.56.230)

08-4153 (Rev. 06/06/11)

CONTINUED ON REVERSE SIDE

(1)

IT IS TIME TO RENEW YOUR HAIRDRESSER LICENSE

(CONTINUED FROM PAGE ONE)

PAYMENT OF CHILD SUPPORT

If the Alaska Child Support Enforcement Division has determined that you are in arrears on child

AND STUDENT LOANS

support, or if the Alaska Commission on Post-Secondary Education has determined you are in loan

 

default, you may be issued a nonrenewable temporary license valid for 150 days. Contact Child

 

Support Services at (907) 269-6900 or the Post-Secondary Education office at (907) 465-2962 or 1-

 

800-441-2962 to resolve payment issues.

PUBLIC INFORMATION

Please be aware that all information on this renewal form will be available to the public, unless

 

required to be kept confidential by state or federal law. Information about current licensees, including

 

mailing addresses, is available on the division’s website at: www.commerce.state.ak.us/occ under

 

“License Search.”

BUSINESS LICENSES

Renewal applications for business licenses will be mailed separately. For more information about

 

business licenses, call (907) 465-2550, or use Internet address: www.commerce.state.ak.us/occ

 

(click on Business Licensing).

 

 

CHANGE OF NAME

Please complete this form showing your present and former name. This form must be NOTARIZED and submitted to this office with a copy of the court order or marriage certificate for the correction of your record.

I,

 

 

, am renewing

 

 

 

 

 

 

 

 

Previous Name

 

 

 

 

 

 

 

Occupation

 

 

 

 

Alaska License No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address

 

 

City

State

Zip Code

 

I hereby certify that I changed my name to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

New Name

 

 

 

 

effective

 

and that I have attached a copy of the legal documentation showing the name

 

change.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIGN HERE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature/New Name

 

 

 

 

SUBSCRIBED AND SWORN TO (or affirmed) before me this

 

 

 

day of

 

, 20

 

 

 

 

NOTARY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of Notary Public

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTARY SEAL

 

 

 

 

 

 

 

City and State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

My Commission Expires

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTIFICATION OF PROPOSED REGULATIONS CHANGES

If you would like to receive notice of all proposed Board of Barbers and Hairdressers

regulation changes, please send a written request adding your name to the Board of Barbers

and Hairdressers Interested Parties List to:

REGULATIONS SPECIALIST

Department of Commerce, Community, and Economic Development

Division of Corporations, Business and Professional Licensing

P.O. Box 110806

Juneau, Alaska 99811-0806

08-4153 (Rev. 06/06/11)

(2)

State of Alaska

Department of Commerce, Community, and Economic Development

Division of Corporations, Business and Professional Licensing

PO Box 110806, Juneau, Alaska 99811-0806

Phone: (907) 465-2550

Fax: (907) 465-2974

OFFICE USE ONLY

CREDIT CARD PAYMENT

For security purposes, please do not email or fax credit card information. Mail this form with the completed renewal to the Division. Completion of this form is not proof of payment until the division processes the information contained herein. If any information on this form is illegible, the form will be rejected. Please print.

Name of Applicant or Licensee:

Corporate or Individual (first, middle, last)

License Number (if applicable):

Type of License:

I wish to make payment by credit card for the following (check all that apply):

Amount

Application fee

License (or renewal) fee

Fine

Other (specify):

Total:

Print Name on Credit Card:

Complete Mailing Address:

Telephone Number:

Email Address (optional):

Credit Card Type (check one):

 

 

VISA

 

MASTERCARD

Signature of Credit Card Holder:

 

 

 

 

 

Card Number: ____________________________________ Expiration Date: _____________

The bottom section of this form will be destroyed upon processing of the payment.

Form 08-4438R (Rev. 11/03/11)

How to Edit Form 08 4153 Online for Free

The filling in the Form 08 4153 is very straightforward. Our experts made certain our PDF tool is easy to utilize and can help complete just about any document within minutes. Listed below are some of the steps you'll want to follow:

Step 1: Click on the "Get Form Here" button.

Step 2: So you will be on your file edit page. You can include, enhance, highlight, check, cross, add or erase fields or text.

For every single segment, create the information requested by the program.

Form 08 4153 fields to fill out

Write the information in Please complete this form showing, am renewing, Previous Name, Occupation, Alaska License No, Mailing Address, City, State, Zip Code, I hereby certify that I changed my, New Name, effective change, and that I have attached a copy of, SIGN HERE, and SignatureNew Name.

Please complete this form showing, am renewing, Previous Name, Occupation, Alaska License No, Mailing Address, City, State, Zip Code, I hereby certify that I changed my, New Name, effective change, and that I have attached a copy of, SIGN HERE, and SignatureNew Name in Form 08 4153

Inside the area dealing with For security purposes please do, Name of Applicant or Licensee, License Number if applicable, Type of License, Corporate or Individual first, I wish to make payment by credit, Amount, Application fee, License or renewal fee, Fine, Other specify, Print Name on Credit Card, Complete Mailing Address, and Total, you are required to put down some essential information.

step 3 to finishing Form 08 4153

The field Telephone Number, Email Address optional, Credit Card Type check one, VISA, MASTERCARD, Signature of Credit Card Holder, Card Number Expiration Date, The bottom section of this form, and Form R Rev is where you indicate both sides' rights and responsibilities.

Form 08 4153 Telephone Number, Email Address optional, Credit Card Type check one, VISA, MASTERCARD, Signature of Credit Card Holder, Card Number Expiration Date, The bottom section of this form, and Form R Rev fields to fill

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