Cosmetology - Corporate Salon Owner Original Permit

Proof of Zoning Documentation Attestation:

Official documentation, demonstrating the approved zoned use of your shop's address, must be obtained from your county's local zoning board, prior to completing this application. The documentation MUST state the approved zoned use for a cosmetology or barber related business. Your application WILL NOT be processed without providing the required zoning documentation. You must submit your documentation within 10 days of completing this application.
Does your documentation specifically state the zoned use for a cosmetology or barber related business? (Ex: HAIR SALON, NAIL SALON, SPA, BARBER SHOP, PERSONAL SERVICES) Yes
Does your documentation state the exact address of your business? Yes

Certificate of Good Standing:

You must provide a Certificate of Good Standing from the Department of Assessments and Taxation. You may contact them at 410-767-1801 to get your copy.

Document Delivery Instructions:

For the most efficient service, your documentation should be emailed, including the business's name, owner's name & owner's phone number.

Please send both documents (Proof of Zoning and Certificate of Good Standing) by email as our preferred method. However, if you prefer to send the documentation by postal mail, you may use the mailing address as listed below.

Email Address to send documentation: barbers.cos@maryland.gov ** PREFERRED **

- OR -
Mail documentation to address below:
Board of Cosmetology
1100 N. Eutaw Street, Room 121
Baltimore, MD 21201

Check the box below to acknowledge that you must send your documentation within 10 days after the submission of your application.

– I acknowledge that I will be sending my documentation within 10 days after my submission.

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. If the address below is no longer valid , please exit this application and apply for an original salon/shop permit.

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:

I hereby certify, under penalty of perjury, that the information contained herein is true and correct to the best of my knowledge, information, and belief. I further authorize the release of any information contained within this application to an authorized representative of the Department of Labor for further investigation. I further certify that I have paid all undisputed taxes and unemployment insurance contributions payable to the Comptroller or the Department of Labor or have provided for payment in a manner satisfactory to the unit responsible for collection. I further certify that I have read and understand Maryland statutory and regulatory provisions applicable to the license/permit/registration being issued, including provisions generally limiting to licensed beauty salons and barbershops the location where services may be offered.

In accordance with Executive Order 01.901.1983-18, the Department of Labor is required to advise you as follows regarding the collecting of personal information: Personal information requested by the licensing agency of the Department is necessary in determining your eligibility for licensure. Such personal information is also intended for use as an additional means of verifying the permit holder’s identity or to enable the agency to communicate, in a timely manner, with the permit holder should the need arise. The permit holder has a right to inspect his/her personal record and to amend or correct the personal data if necessary. Personal information is generally available for inspection by the public only in accordance with the Public Information Act. Personal information is not routinely shared with state, federal or local government agencies.

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