Cosmetology - Corporate Salon Owner Original License


Use and Occupancy Attestation:

A Use and Occupancy permit must be obtained from the local zoning board prior to completing this application.

Your application will not be processed without the Use and Occupancy permit. The Use and Occupancy Permit must be sent to the Board of Cosmetology within 10 days of submitting this application. If the permit is not received by the Board within 10 days, your application will be denied.

The permit must be sent to The State Board of Cosmetology, 500 North Calvert St, Baltimore, MD 21202

Have you obtained the Use and Occupancy Permit? Yes
  Date of Permit: - - (MM-DD-YYYY)
  Permit Number:

Business Information:

Enter license type:

Full Service: A Full Service Salon is authorized to offer all cosmetology services

Limited Service: A Limited Practice Salon is authorized to offer only esthetics or manicuring services.


Name (President):
Name (Vice President):
Corp. Name:
Corp. Address:
City, State Zip: , -
County of Corp. Address:

Note: If you change the name of your salon, the outside signage of the business must be changed to match the salon's name. If the names do not match, you are in violation of the Cosmetology Regulations.
Salon Name/Outside Signage:
Salon Address:
City, State Zip: , -
County of Salon Address:
Business Phone No.: - -

Federal ID:
Name of State in which incorporated and date of Certificate of Incorporation.
State: Date: / /

Resident Agent:

Name (Resident Agent):
Address:
City, State Zip: , -
Home Phone No.: - -
Business Phone No.: - -
E-mail Address:

Required Information:

Have you ever:
1. Been convicted of a felony or misdemeanor in any State or Federal Court? Yes No
2. Had this type of license, certificate, registration, or permit denied, suspended, or revoked by Maryland or any other jurisdiction? Yes No

Workers Compensation:

 I have Workers Compensation Coverage   Policy/Binder No.

Issued by the  

 I am not an employer required to provide employee coverage under the Workers Compensation Law.


Certification:

By pressing "Submit" below:



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