Form VE-COB at a glance
What it is: VE-COB is a Supporting Document, a Verification of Employment/Experience.
Who signs: The declarant signs on the Signature of Declarant line: I do hereby declare that the information I have recorded hereon is true and correct.
A filled-in Form VE-COB example: a cosmetologist and a former employer
How to fill out Form VE-COB, box by box
Name, Date of Birth and SSN or ITIN
Applicant: Complete the applicant section of this form.
Enter the Name (Last, First, Middle) in box 1, the Date of Birth (Month, Day, Year) in box 2 and the SSN or ITIN in box 3.
Address, profession, maiden or given surname and license number
In box 4, enter the Address (Street, City, State, Zip Code); a P.O. Box alone is not acceptable.
In box 5, enter the Profession Name and the Profession Code.
Enter the Maiden or Given Surname in box 6. Enter the Illinois License Number in box 7, for restoration applicants only.
Forward the form to an employer, or client who has personal knowledge of your practice.
Part I: the declarant and the relationship to the applicant
Declarant: Complete the remainder of this form.
In Part I, enter the Name of Declarant in A.
In Part I, mark the Relationship to Applicant in B: Employer or Client.
Part II: the practice performed by the applicant and its dates
In Part II, mark the Practice Performed by Applicant in A: Cosmetology, Esthetics, Barbering or Nail Technology.
In Part II, enter the Dates of Applicant's Practice in B: From and To, each as Month Day Year.
Part II: the location and the services
In Part II, enter the Location of Applicant's Practice in C (salon name, street address, city, state, zip code).
In Part II, enter the Professional Services Performed by Applicant in D.
The declarant signs and enters the address and the date
The declarant enters the Street Address of Declarant, the Date Signed and the City, State, Zip Code of Declarant.
More rules for Form VE-COB
Completion of this form is necessary for consideration for licensure under 225 ILCS 410 et. seq. (Illinois Compiled Statutes). Disclosure of this information is VOLUNTARY. However, failure to comply may result in this form not being processed.
Sources
[1] Form VE-COB (IL486-0216 3/24), Verification of Employment/Experience, Illinois Department of Financial and Professional Regulation (the Official source link on this page).