Salon License Ga PDF Details

In order to operate a hair salon in Georgia, you will need to complete and submit the Salon License GA Form. This form is used to collect information about your business, including contact information, and the services you offer. The completed form must be submitted to the Georgia Department of Public Health before your salon can open. Completing this form correctly is important, as it will help ensure that your salon is in compliance with state regulations. If you have any questions about the process, please contact the department for assistance.

Below is the information relating to the file you were looking for to fill in. It can show you the length of time you will need to finish salon license ga, exactly what fields you will have to fill in, and so forth.

QuestionAnswer
Form NameSalon License Ga
Form Length7 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 45 sec
Other namesgeorgia cosmetology salon application, shop license ga, salon license ga print, cosmetology salon georgia

Form Preview Example

APPLICATION FOR A COSMETOLOGY OR BARBER SALON/SHOP LICENSE

GEORGIA STATE BOARD OF COSMETOLOGY AND BARBERS

237 Coliseum Drive Macon, Georgia 31217

Phone (404) 424-9966 Fax: (866) 888-1176

https://sos.ga.gov/georgia-state-board-cosmetology-and-barbers

This application may be submitted online at: https://secure.sos.state.ga.us/mylicense/Login.aspx?process=app

Please read the instructions carefully and be familiar with the laws and rules governing the practice of Cosmetology/Hair

Design/Nail Technology/Esthetics/ Master Barber/Barber II in the State of Georgia.

Please visit our website for a tutorial video:

https://sos.ga.gov/search?type=video&board=Cosmetology%20and%20Barbers

**IMPORTANT**

The Board cannot process incomplete applications. Any item that is missing, incomplete or incorrect, will delay processing of your application and cannot be reviewed by the Board. Please review your application before submitting to ensure all information and documentation is complete and correct. Incomplete applications are withdrawn after sixty (60) days. Once an application is withdrawn, you will need to submit a new application with all appropriate fees and documents.

APPLICATION CHECKLIST

The following checklist is an important part of your application. Please use this checklist to ensure that you submit a COMPLETE application. We recommend you keep a copy of your application for your records.

NON-REFUNDABLE FEE: $75.00 The payment must be made by check or money order payable to the Georgia State Board of Cosmetology and Barbers. DO NOT SEND CASH OR COUNTER CHECKS. Checks returned for insufficient funds are subject to a $30.00 service charge pursuant to O.C.G.A.§16-9-20. Processing fee of $10 shall be included in addition to the application fee.

BILL OF SALE/LEASE: Bill of Sale/Lease (location, address and signature pages ONLY, you do not need to submit the entire document) must be submitted.

NOTARIZED APPLICATION: NOTARIZED APPLICATION & AFFIDAVIT: The complete application must be mailed to the Board’s office at the address listed above, along with your FEE. Each owner must sign a separate affidavit in the presence of a notary.

ANSWER ALL QUESTIONS: All questions must be answered. Applicants who must answer “Yes” to the arrest/conviction question must submit a certified copy of the final court disposition with a letter of explanation, as well as a letter from probation/parole officer with a current status of probation or stating the case has been closed. Applicants who answer “Yes” to the sanction/disciplinary questions must provide a certified copy of the agency order showing the action taken by the other state licensing board. Approval of licensure is at the Board’s discretion.

NAME OF ESTABLISHMENT: The name of the salon/shop must include the word “salon” or “shop” in the name.

PROOF OF CONTINUING EDUCATION: Please submit a certificate of completion of the three (3) hour board approved TCSG Health & Safety Continuing Education course as required by Board Rule 240-12-.01. (If multiple owners, only one owner will need to complete this requirement). Approved CE providers can be found on the Board’s website: https://sos.ga.gov/georgia-state- board-cosmetology-and-barbers

SECURE AND VERIFIABLE DOCUMENT (SVD) – Enclosed is a copy of my Driver’s License, Passport, or other document OR a copy of my current immigration document(s) which includes either my Alien number or I-94 number and SEVIS number if needed. Secure and Verifiable Documents Under O.C.G.A. § 50-36-2 issued August 1, 2011 by the Office of the Attorney

General, Georgia:

The list of secure and verifiable documents, published under the authority of The Illegal Immigration Reform and Enforcement Act of 2011 (“IIREA”) on the Department of Law’s website pursuant to O.C.G.A. § 50-36-2, contains documents that are verifiable for identification purposes, and documents on this list may not necessarily be indicative of residency or immigration status. This list may be found on the Board’s website at this address: https://sos.ga.gov/page/secure-and-verifiable-documents

PROCESSING TIME: Please allow at least 15 business days (does not include weekends or holidays) for processing of applications. If a deficiency letter is received, please allow 15 business days for processing after submission of your deficiency items.

SUBMIT APPLICATION IN A 9X12 or LARGER ENVELOPE – DO NOT STAPLE pages or check/money order. Do not fold pages of the application. Make check/money order payable to Georgia State Board of Cosmetology and Barbers submit to 237 Coliseum Drive, Macon, GA 31217. We recommend using US Mail or private courier (UPS, FedEx, etc.) with tracking. Keep a copy of your application for your records.

APPLICATION FOR COSMETOLOGY OR BARBER SALON/SHOP LICENSE

Please be aware that a salon/shop license is NOT the same as a business license. Please contact the city or county in which you are establishing your salon/shop to obtain a business license.

In order to open a salon/shop you must have the actual license issued by the Georgia Board of Cosmetology and Barbers and the registration must be displayed in a conspicuous place in the salon/shop. A copy of the application and proof of payment sent will not be viewed as an acceptable substitute for a salon/shop license. Licenses may be printed from the Board website.

Salon/Shop Change of Name or Address requires a change of name and/or address application be submitted to the Board office with the required $45 fee. Change of Ownership requires a new application be submitted to the Board office with the required $75 fee and issuance of a new license number. YOU MUST INCLUDE A COPY OF YOUR BILL OF SALE/LEASE. Business names of salon/shop shall include the word salon or shop and shall not contain terms which would mislead the public as to the operation of the cosmetology or barber establishment.

The Board does not license booths within a salon/shop or a kiosk as a salon/shop. A facility licensed as a nursing home pursuant to Article 1 of Chapter 7 of Title 31 is not required to have a salon/shop license issued by the Board. Services may be performed by a registered cosmetologist, master barber, or barber II in a client’s residence, a nursing home, an assisted living community, a personal care home, a hospital, or similar facilities when the client for reasons of ill health, infirmity, or other physical disability is unable to go to the licensed beauty shop, salon, or barber shop for regular barbering or cosmetologist services.

Citizenship/Qualified Alien Status: All owners must complete and submit a separate Owner Affidavit and submit a current Secure and Verifiable Document(s) such as driver’s license, passport, or document as indicated. If not a U.S. citizen, please attach a copy of your current immigration document(s) which includes either your Alien number or 1-94 number and SEVIS number if needed.

Information Regarding Apprentices in Salon/Shop: Any individual planning to apprentice in a salon/shop must be licensed as an apprentice. Each Master Cosmetologist, Hair Designer, Nail Technician, Esthetician, Master Barber, or Barber II must have held a license for at least 36 months (18 months for barber). If the master trainer or salon/shop for an apprentice changes, a new apprentice application and processing fees must be submitted to the Board office. See Board Rules for further information on apprentice requirements.

GSBCB rev 3/22

DO NOT SUBMIT THIS PAGE WITH YOUR APPLICATION.

2

GEORGIA STATE BOARD of

COSMETOLOGYAND BARBERS

237 Coliseum Drive • Macon, GA 31217 Phone (404) 424-9966

https://sos.ga.gov/georgia-state- board-cosmetology-and-barbers

Date Entered ___________________________________

Receipt # ___________________________________

Submitted $ ___________________________________

APPLICATION FOR COSMETOLOGY OR BARBER SALON/SHOP LICENSE

Application Fee $75 + $10 Processing Fee

(Fees are Non-refundable)

Please review your application before submitting to ensure all information and documentation is complete and correct. Incomplete applications are withdrawn after sixty (60) days. Once an application is withdrawn, you will need to submit a new application with all appropriate fees and documents.

Reason For Application (Check Only One Box):

New Cosmetology or Barber Salon/Shop (Name must include “Salon” or “Shop”)

Change of Ownership

Salon/Shop Business Name (As it will appear on license):

_______________________________________________________________________________________________________

The word SALON or SHOP must be included in the name.

Federal Employee Identification Number or Salon/Shop Owner’s Social Security Number:

______________________________________________________________________________________

*THIS INFORMATION IS AUTHORIZED TO BE OBTAINED AND DISCLOSED TO STATE & FEDERAL AGENCIES PURSUANT TO O.C.G.A. § 19-11-1 AND O.C.G.A. § 20-3-295, 42 U.S.C.A. § 551 AND 20 U.S.C.A. § 101.

MAILING ADDRESS – This is the address where the Owner will receive mail from the Board:

______________________________________________________________________________________

P.O. Box OR Number and Street

Apt. No.

City/State

Zip Code

STREET ADDRESS WHERE SALON/SHOP IS LOCATED – This address is assigned to your license:

_______________________________________________________________________________________

(NO P.O. Box)

Number and STREET NAME

Suite Number

Studio Number

City/State

Zip Code

If you are granted a license, your name, address and license number becomes public information and will be posted on the Secretary of State’s website. The mailing address is used for renewal notices and application processing.

TELEPHONE:

 

 

_____-_____-_______

____-____-_______

_____-_____-_____

Shop Telephone Number

Cell Telephone Number

Evening Phone Number

EMAIL: ______________________________________________________________________

(please print clearly) Acknowledgement of your application will be sent by email. Also, if further information is needed, email is the most efficient way for Board staff to contact you so that your application can be processed in the most efficient manner. Please notify the Board of any email address change. Your email address will not be shared with any third party.

Please check this box if you are a military spouse or a transitioning service member of the United States armed forces (including the National Guard)

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1

OWNER INFORMATION PAGE (Complete for each owner of the salon/shop)

OWNER 1

__________________________________________________________________________________________

(PLEASE PRINT)FirstMiddleLast

Personal Address __________________________________________________________________________

P.O. Box not acceptable- Number and Street Apt. No. City/State Zip

Mailing Address ___________________________________________________________________________

(if different) Number and Street Apt. No.City/State Zip

Social Security Number ______-_____-________

If you hold a license issued by the Professional Licensing Boards, what is the license number(s)?

_______________________________________

Do you own another salon(s) or shop(s)? _____ Yes _____ No

If so, what is the name of the salon(s) and the license number(s)?

________________________________________________________________________________________

Do you plan to continue operating this salon(s) or shop(s) that was previously licensed?___Yes ___No

***************************************************************************************************************

OWNER 2

_________________________________________________________________________________________

(PLEASE PRINT)FirstMiddleLast

Personal Address _________________________________________________________________________

P.O. Box not acceptable- Number and Street Apt. No. City/State Zip

Mailing Address __________________________________________________________________________

(if different) Number and Street Apt. No.City/State Zip

Social Security Number ______-_____-________

If you hold a license issued by the Professional Licensing Boards, what is the license number(s)?

___________________________________

Do you own another salon(s) or shop(s)? _____ Yes _____ No

If so, what is the name of the salon(s) and the license number(s)?

________________________________________________________________________________________

Do you plan to continue operating this salon(s) or shop(s) that was previously licensed?___Yes ___No

NOTE: If additional owner pages are needed, copy this page and attach to the application.

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2

CHANGE OF SALON/SHOP OWNERSHIP QUESTIONS

If you are changing the Owner of a Salon/Shop you MUST provide the information below:

Yes

No

1.

I have enclosed a copy of the Bill of Sale / Lease with the owner’s names

 

 

 

 

and the physical location of the Salon/Shop listed

(Please submit pages with

 

 

 

 

 

location, address and signatures ONLY – You do not need to send the entire document)

 

 

 

 

Yes

No

2.

I have provided the salon/shop information purchased at this location:

 

 

 

 

Name of salon/shop purchased____________________________________

 

 

 

 

Old License Number:___________________________________________

ALL Salon/Shop Applicants Must Answer the Below Questions:

Yes

No

 

 

Yes

No

1.Have all owners completed page 2 of this application titled “Owner Information Page” and have all owners completed a separate page 5 of this application titled “Owner Affidavit”?

2.Have the owner(s) completed a Board approved 3 hour continuing education course covering health, sanitation, and safety as required by Board Rule 240-12-.01? If you answer NO, we cannot process your application. (If multiple owners, only one owner is required to complete this requirement.)

 

 

 

 

 

3. Have the owner(s)

ever

been

arrested

or

convicted

of a felony, misdemeanor (other

Yes

No

 

 

 

 

than a minor traffic violation), crime involving moral turpitude, or a crime violating federal

 

 

 

 

 

 

 

 

 

 

or state law relating to controlled substances or dangerous drugs? (DWI and DUI are not

 

 

 

 

 

minor traffic violations.) For purposes of this question, a “conviction” includes a finding or

 

 

 

 

 

verdict of guilty, plea of guilty, a plea of nolo contendere, or first offender treatment, and

 

 

 

 

 

also includes adjudication of guilt or sentence withheld or not entered on the charge (s).

NOTE: The answer to this question is “YES” if an arrest or conviction has been pardoned, expunged, dismissed or deferred, you pled & completed probation under First offender and/or your civil rights have been restored and/or you have received legal advice that the offense will not appear on your criminal record. If you answered “Yes” to the question regarding arrest/court convictions, you must submit the following to the Board:

(a)Submit a letter of explanation and certified copy of final court disposition from the county(s) in w h i c h you were arrested/convicted. The court document should include the charges and sentencing information.

(b)Probation/Parole - Submit a statement (on official letterhead) from your probation / parole officer regarding your current status. If probation/parole has been completed, submit certified documents from the courts verifying case closed and completion of probation / parole

__________________________________________

_______________________________________

Salon/Shop Name

Owner Name(s)

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3

Has any other licensing board or agency in Georgia or any other state ever:

Yes

No

6.(a) Denied an owner(s) application for licensure, renewal, or reinstatement?

 

 

 

 

Yes

No

 

(b) Revoked, suspended, restricted, sanctioned, or probated an owner(s) license?

 

 

 

 

Yes

No

(c) Requested or accepted surrender of an owner(s) license?

 

 

 

Yes

No

 

(d) Reprimanded, fined, or disciplined an owner(s)?

If you answered “Yes” regarding sanctions from another board, you must request that the licensing board or agency send a certified copy of the action taken against your license with relevant supporting documents to the Board’s office. Your application will not be processed until this information is received and reviewed by the Board. Provide the name of the agency or board in the space provided:

________________________________________

______________________________________________

Owner’s Name

Name of State Board or Agency

____________________________________________________

Salon/Shop Name

____________________________________________________

Owner Name(s)

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NOTARIZED SIGNATURE BY SALON/SHOP OWNER

OWNER AFFIDAVIT

(Each Owner Must Submit a Separate Affidavit)

I hereby swear and affirm that all information provided in this application is true and correct to the best of my knowledge and belief. I further swear and affirm that I have read and understand the current state laws and rules and regulations of the Georgia State Board of Cosmetology and Barbers and I agree to abide by these laws and rules, as amended from time to time.

By signing this application, electronically or otherwise, I hereby swear and affirm one of the following to be true and accurate (Check or initial beside #1 or #2 below):

1)_______ I am a United States citizen least 18 years of age or older. You must submit a copy of your current photo ID or

Secure and Verifiable Document(s) such as driver’s license, passport, or other document.

2)_______ I am not a United States citizen, but I am a legal permanent resident of the United States 18 years of age or older, or I am a qualified alien or non-immigrant under the Federal Immigration and Nationality Act 18 years of age or older with an alien number issued by the Department of Homeland Security or other federal immigration agency. You must submit a copy of your current immigration document(s) which includes either your Alien number or your I-94 number and, if needed, SEVIS number. When submitting a “green card,” please provide a copy of the front and back of the card.

The undersigned applicant also hereby verifies that he or she is at least 18 years of age or older and has enclosed at least one form of acceptable identification such as a Secure and Verifiable Document as required by O.C.G.A. § 50-36-1(e)(1), with this Affidavit.

In making the above representations under oath, I understand that any person who knowingly and willfully makes a false, fictitious, or fraudulent statement or representation in an affidavit shall be guilty of a violation of O.C.G.A. § 16-10-20, and face criminal penalties as allowed by such criminal statute. I also understand that any failure to make full and accurate disclosures may result in disciplinary action by the Board for which I am applying for licensure.

Print Name of Applicant

Signature of Applicant

SUBSCRIBED AND SWORN BEFORE ME ON THIS THE

DAY OF, 20_____

________________________________________________

NOTARY PUBLIC SIGNATURE

MY COMMISSION EXPIRES:

O.C.G.A. § 45-17-6 requires legible seals for notarized documents.If an embossed seal is used a foil overlay or shading should be applied to make the seal, state, title, name, and county legible when digitized.

NOTARY SEAL

GSBCB rev 3/22

5

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filling in salon license ga print step 1

Inside the area BILL OF SALELEASE Bill of, document must be submitted, NOTARIZED APPLICATION NOTARIZED, ANSWER ALL QUESTIONS All, NAME OF ESTABLISHMENT The name of, PROOF OF CONTINUING EDUCATION, Health Safety Continuing, and SECURE AND VERIFIABLE DOCUMENT write down the particulars that the program asks you to do.

step 2 to filling out salon license ga print

Make sure you identify the key details from the The list of secure and verifiable, PROCESSING TIME Please allow at, SUBMIT APPLICATION IN A X or, APPLICATION FOR COSMETOLOGY OR, Please be aware that a salonshop, you are establishing your, In order to open a salonshop you, and SalonShop Change of Name or area.

stage 3 to entering details in salon license ga print

Inside the box GEORGIA STATE BOARD of, Phone httpssosgagovgeorgiastate, Date Entered, Receipt, Submitted, Date Issued, APPLICATION FOR COSMETOLOGY OR, Please review your application, Reason For Application Check Only, New Cosmetology or Barber, Change of Ownership, and SalonShop Business Name As it will, specify the rights and obligations of the sides.

GEORGIA STATE BOARD of, Phone   httpssosgagovgeorgiastate, Date Entered, Receipt, Submitted, Date Issued, APPLICATION FOR COSMETOLOGY OR, Please review your application, Reason For Application Check Only, New Cosmetology or Barber, Change of Ownership, and SalonShop Business Name As it will in salon license ga print

Finish by looking at the next fields and preparing them as needed: Federal Employee Identification, THIS INFORMATION IS AUTHORIZED TO, MAILING ADDRESS This is the, PO Box OR Number and Street, Zip Code, CityState, Apt No, STREET ADDRESS WHERE SALONSHOP IS, NO PO Box Number and STREET NAME, Studio Number CityState, Suite Number, Zip Code, If you are granted a license your, TELEPHONE, and Shop Telephone Number Cell.

salon license ga print Federal Employee Identification, THIS INFORMATION IS AUTHORIZED TO, MAILING ADDRESS  This is the, PO Box OR Number and Street, Zip Code, CityState, Apt No, STREET ADDRESS WHERE SALONSHOP IS, NO PO Box Number and STREET NAME, Studio Number CityState, Suite Number, Zip Code, If you are granted a license your, TELEPHONE, and Shop Telephone Number Cell blanks to fill

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