Salon License Application cos057

---

 SALON LICENSE APPLICATION 

If a salon has an existing disciplinary action, a change of ownership or name change 

may  not 

take place until the action has been closed. You may contact the Board office to verify the status of a   

license.

If establishing two (2) types 

of 

salons within one location (e.g. Manicuring and Esthetics), a 

separate application and fee is required for each.             

            Once the application has been approved, a business license will be mailed to the salon address listed.  

            If you have not received your license within thirty (30) days of submitting the application, please  

contact the Board office.    

Business license must be received prior to opening business. 

Salons are required to follow the laws and rules found in Chapter 4713 of the Ohio Revised Code and 

Chapter  4713 of the Ohio Administrative Code, which govern the  (practice of cosmetology) in Ohio. 

 

CLICK HERE

 to view the Laws and rules.  

Salons are required (ORC 4713.081) to post the Sanitary Standards provided by the Board in a public 

and conspicuous place in the salon.   

CLICK HERE

 to access a copy of the standards.  

All individuals providing services must be properly licensed or registered  with the Ohio State Cosmetology

 

and Barber Board

. 

The status of a license or registration can be verified on the following website:  

https://license.ohio.gov

 

Salon licenses are not transferable from owner to owner or location to location. 

The completed application and required fee must be mailed to: 

The Ohio State Cosmetology 

and Barber Board

1929 Gateway

 

Ci rcle

Grove City, Ohio 43123  

If you have questions or concerns call:  614-644-6121

 

Faxed applications will not be accepted.

---

SALON LICENSURE APPLICATION 

FEE: $75.00

 

(Non-Refundable/Non –Transferable)

MAKE CHECK or MONEY ORDER ONLY 

MADE PAYABLE TO: TREASURER STATE OF OHIO 

TYPE OF APPLICATION

 

(Select only one type per application)

 

Cosmetology Salon

 

(Hair, Nail, Skin Services )

 

 New Salon

 

Change of

 

Location

 

Change of

 

Ownership

 

Manicuring Salon

 

(Nail Services Only)

 

New Salon

 

Change of

 

Location

 

Change of

 

Ownership

 

Esthetics Salon

 

(Skin Services Only )

 

New Salon

 

Change of

 

Location

 

Change of

 

Ownership

 

Hair Design Salon

 

(Hair Services Only )

 

New Salon

 

Change of

 

Location

 

Change of

 

Ownership

 

Natural Hair Salon

 

(Braiding and Natural Hair Ser-

vices )

 

New Salon

 

Change of

 

Location

 

Change of

 

Ownership

 

SALON NAME & LOCATION INFORMATION

 

SALON NAME

 

(Name must match business sign)

SALON ADDRESS

 

PREVIOUS ADDRESS

 

(only if this is a change of  

address)

STREET 

SUITE, UNIT OR STORE NUMBER:

CITY: 

STATE: OHIO                  COUNTY:            

    ZIP CODE:

STREET:

SUITE,UNIT OR STORE NUMBER: 

CITY:

STATE:  OHIO                  COUNTY:  

      ZIP CODE:

 

Change of Business 

Name 

Change of Business 

Name 

Change of Business 

Name 

Change of Business 

Name 

Change of Business 

Name 

1  

Amount Received:____________ 

If  your  salon  is  a  new  build/structure  and  has  NOT  been  previously 

issued  a  licensed  by  the  Ohio  State  Cosmetology

  and  Barber  Board

, 

completing page 5 of this application is 

NOT required.

 Rev.

01212018COS057

Application is a fill-in document and must be typed.

Applications that are illegible will be returned.

---

SALON PHONE NUMBER: 

SALON WEBSITE: 

SALON E-MAIL: 

2  

OWNERSHIP INFORMATION

 

- 

Complete Only ONE (1) Type of Ownership

Sole - Proprietorship

 

(one owner) 

Owner DOB    ———/———-/———

 

Month         Date              Year 

NAME: 

STREET:

CITY:

STATE: OHIO              COUNTY:    

ZIP CODE:         

             PHONE NUMBER:

SSN:

   EMAIL :

Partnership

 

(two or more owners) 

Owner DOB    ———/———-/——— 

Month         Date              Year

Owner DOB    ———/———-/——— 

Month         Date              Year

Owner DOB    ———/———-/——— 

Month         Date              Year 

NAME: 

STREET:

CITY:

STATE: OHIO              COUNTY:    

ZIP CODE:         

             PHONE NUMBER:

SSN:

   EMAIL :

NAME: 

STREET:

CITY:

STATE: OHIO              COUNTY:    

ZIP CODE:         

             PHONE NUMBER:

SSN:

   EMAIL :

NAME: 

STREET:

CITY:

STATE: OHIO              COUNTY:    

ZIP CODE:         

             PHONE NUMBER:

SSN:

   EMAIL :

Corporation or LLC

 

NAME: 

STREET:

CITY:

STATE: OHIO              COUNTY:    

ZIP CODE:         

             PHONE NUMBER:

FEIN:

    EMAIL :

---

3  

If you would like the initial license mailed to an address other than the salon address, list that address 

below.  NOTE: This address can only be used for the initial licenses, all other correspondence will be 

mailed to the actual salon address. 

Name: 

Street Address: 

City: 

State: 

 

Zip 

Code: 

AUTHORIZED REPRESENTATIVE CONTACT  INFORMATION ~ REQUIRED 

The Authorized Representative is the  

individual legally authorized to sign  

official correspondence from the  

Board on behalf of the business. 

NAME: 

STREET:

CITY:

STATE: 

 COUNTY:    

ZIP CODE:         

             PHONE NUMBER:

SSN:

   EMAIL :

Notice on Collection of Personal Information 

The  Ohio  State  Cosmetology  and  Barber  Board  collects  personal  information  on  this  form  principally  to  identify  and  evaluate  an  applicant’s 

qualifications for licensure, issue and renew licensure, and enforce the provisions of Sections 4709 and 4713 of the Ohio Revised Codes. Submission 

of this information is mandatory for all licensees and business owners, and the Board cannot process your application without a complete and accurate 

profile that includes the information requested. Information submitted to the Board, excluding confidential personal information as listed under Section 

149.43 of the Ohio Revised Code, may be disclosed in response to a request for public records, to another state or government agency as required by 

law, or pursuant to a court order. Social security numbers are required to be collected from all licensees and licensed business owners by state and 

federal law for purposes of child support enforcement (ORC 3123.50, 42 U.S.C. Section 666), and may be necessary for Authorized Representatives 

for  purposes  of  identification  and  electronic  system  access.  Licensees  may  request  to  review  the  information  maintained  by  the  Ohio  State 

Cosmetology and Barber Board. Questions should be directed to the Board office.

The  Ohio  State  Cosmetology  and  Barber  Board  maintains  personal  information  data  in  an  interconnected  enterprise  licensing  data  system  that  is 

accessed by other agencies authorized to engage in occupational and professional licensing in the state of Ohio. Access to personal information data 

maintained in the interconnected enterprise licensing system by participating agencies is strictly limited to purposes identified by each participant, in 

accordance with Section 1347.15 of the Revised Code.

I hereby request that in order to process my application, act upon renewal requests, and to respond to public requests to confirm my license/certificate 

status, my personal information be accessed in accordance with OAC 4709-11 and OAC 4713-13. 

Signature 

 

     Date 

Signature 

 

     Date 

Signature 

 

     Date 

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

An Authorized Representative is not 

required to provide a social security 

number, but this information may be 

needed for electronic licensing system 

access.

Facility address cannot be used. Address 

must be for the individual listed as the 

Authorized Representative.

---

4 

Date Salon Will Be Open For Business:   —————/—————/———— 

   

Month  

         Date  

 Year

 

If the date reported above changes, you are required to notify the Board by send

ing

 an email 

to:   

[e-mail]

Affirmation

 

I affirm that: 

1)

all information contained in this application is true and accurate to the best of my knowledge and belief;

2)

as the business owner, I understand that I am required to follow the laws and rules found in Chapters 

4709  and  4713  of  the  Ohio  Revised  and  Ohio  Administrative  Codes,  as  applicable,  which  govern  the 

practice of barbering and cosmetology in Ohio; and

3)

I understand that, while I have until the expiration date of the issued salon license to open for business,

 

I am required to notify the Ohio State Cosmetology 

and Barber Board 

of any changes to the open for 

business

 

date listed in this application.

Signature of Applicant ________________________________________________ 

 Date __________

---

5 

Business Transaction 

Affidavit

-

Complete if you are purchasing an existing salon with an “ACTIVE” license, involving only a 

change of ownership. 

This form does not need to be completed if your salon is a new build or structure and has 

not previously been issued a license by the Ohio State Cosmetology

 and Barber Board

.  

  

Affidavit  

State of Ohio, County____________________ 

I, hereby swear or affirm that an actual change of ownership has occurred regarding the business listed 

below. 

Name of Business ___________________________________ Current Salon License # ____________ 

Address____________________________________________________________________________ 

Signature of Applicant   ________________________________________________ 

Signature of former Owner or Representative of Owner’s Estate in the event of death of Owner 

____________________________________________________________________________ 

(both must be signed in the presence of a notary) 

Subscribed in my presence and sworn to me this _____   ___day of ______________ year________. 

  ___________________________________________ 

  Notary Public (Commission Expiration Date Required) 

 NOTARY SEAL