COSMETOLOGY MOBILE SALON LICENSE APPLICATION INSTRUCTIONS
The application must be completed and signed by the applicant. An application is not considered complete and will not
be processed until all required items have been submitted. All information provided must be typed or printed in black
ink. Attachments must be submitted on separate pieces of single-sided, 8½” x 11” paper. Use a paperclip to fasten all
pages together, with a cashier’s check or money order on top. Do not use staples.
DOCUMENTS SUBMITTED WITH YOUR APPLICATION WILL NOT BE RETURNED. KEEP A COPY OF YOUR
COMPLETED APPLICATION, ALL ATTACHMENTS, AND YOUR CASHIER’S CHECK OR MONEY ORDER.
PO Box 12157
Austin, Texas 78711-2157
(800) 803-9202
(512) 463-6599
FAX (512) 475-2871
www.tdlr.texas.gov
cs.cosmetologists@tdlr.texas.gov
1. SALON NAME - Write the name of your salon as it should appear on your salon license. (maximum of 40 characters)
2. SALON TYPE - Check the box of the type of salon you want to open. Once your license has been issued, you can
only change the salon type by applying for a new license.
3. MOBILE SALON’S MAILING ADDRESS - Write your current business mailing address. This is the address where
we will send you mail. This address can be a post office box. You can add the zip plus-4 to help the postal service
deliver mail more efficiently and accurately. Always keep your mailing address current with TDLR. A license renewal
notice will be mailed to your address of record before the date your license will expire.
4. PHONE NUMBER - Write a telephone number, including the area code, where we can reach you or leave a mes-
sage for you during the day.
5. EMAIL ADDRESS - Write your email address. Please provide your email address so the department may email li-
cense information and required notices to you. Your email address is confidential pursuant to the Texas Public Infor-
mation Act, and the department will not share it with the public.
6. MOBILE SALON’S PHYSICAL ADDRESS - Write the physical address of your salon. A post office box cannot be
used for this address. Once your license has been issued, you can only change the salon’s physical address by ap-
plying for a new license.
7. FAX NUMBER - Write a fax number, including the area code, where we can send you faxes.
8. PHONE NUMBER - Write a phone number, including the area code, where w can reach you or leave a message for
you during the day.
9. TRACKING METHOD - Check the method that will allow TDLR to track the location of your mobile salon.
10. TYPE OF OWNERSHIP - Check the box that indicates how your business is organized.
11. OWNER INFORMATION - Write the owner information of your business. If this business is a SOLE PROPRIETOR-
SHIP, write your name, social security number, and date of birth in the provided space. Also include your mailing
address and other requested contact information.
Social security number disclosure is required by Section 231.302(1) of the Texas Family Code in order to obtain a
license. Your social security number is subject to disclosure to an agency authorized to assist in the collection of
child support payments. For more information regarding child support payments, contact the Texas Attorney General
at: www.oag.state.tx.us/child/index or call (512) 460-6000 or (800) 252-8014.
See item 6 for information on e-mail disclosure.
12. ADDITIONAL OWNERS’ INFORMATION - Write the additional owners’ information of all persons or entities that
owns at least 25 percent of this business. See item 11 for information on social security number disclosure and item
6 for information on e-mail disclosure.
13. REQUIRED FOR A SALON LICENSE - By checking this box, you agree to not open your business until you have
met all requirements for a salon and have received your salon license.
14. STATEMENT OF APPLICANT - Carefully read the statement before you date and sign your application.
State law prohibits renewing a license more than once after a licensee has defaulted on a student loan guaranteed by the Texas
Guaranteed Student Loan Corporation (TGSLC) unless the licensee has entered into a repayment agreement with TGSLC.
YOU SHOULD CONTACT TGSLC BEFORE FILING THIS APPLICATION if you have defaulted on a student loan. An application or
renewal may be rejected if this agency has received information from TGSLC that the applicant has defaulted on a student loan. The
Texas Guaranteed Student Loan Corporation can be contacted at: Texas Guaranteed ATTN: Collections, PO Box 83100, Round
Rock, TX 78683-3100, Telephone: (800) 222-6297,
http://www.tgslc.org
or email: cust.assist@tgslc.org.
YOU MUST MEET ALL REQUIREMENTS WITHIN 12 MONTHS OF THE FILING DATE, OR THE APPLICATION WILL BE TERMINATED.
APPLICATION FEE: $106 (FEE IS NON-REFUNDABLE)
PAYMENTS MUST BE IN THE FORM OF A CASHIER’S CHECK OR MONEY ORDER PAYABLE TO TDLR
ALL INFORMATION MUST BE TYPED OR PRINTED IN BLACK INK
1. Salon Name:
_______________________________________________________________________________________________
2. Salon Type:
(ck one only)
Beauty Salon
Manicure (only)
Esthetic (only)
Esthetic/Manicure
Wig Salon
Weaving
Eyelash Extension Salon
3. Mobile Salon’s Mailing Address:
(USED TO RECEIVE MAIL FROM TDLR) (A PO box is allowed for this address.)
Number, Street Name, Apartment Number
________________________________________________________________________________________________________________________________________________________________
City State Zip Code
6. Mobile Salon’s Physical Address:
(where unit will be located when not in use)
Number, Street Name, Suite Number/Apartment Number
________________________________________________________________________________________________________________________________________________________________
City State Zip Code
Sole Proprietorship
* Corporation
* Limited Liability Company
General Partnership
* Limited Liability Partnership
* Limited Partnership
10. Type of Ownership:
7. Fax Number:
(_______________) ____________________________________________________
Area Code Phone Number
Global Positioning System (GPS)
Submit to the Department, a weekly itinerary showing the dates, exact
locations, and times of service to be provided
9. Tracking Method: What method will be used to let the Department track the location of the mobile salon?
COSMETOLOGY MOBILE SALON LICENSE APPLICATION
PO Box 12157
Austin, Texas 78711-2157
(800) 803-9202
(512) 463-6599
FAX (512) 475-2871
www.tdlr.texas.gov
cs.cosmetologists@tdlr.texas.gov
4. Phone Number:
(_______________) ____________________________________________________
Area Code Phone Number
5. Email Address:
_______________________________________________________________________________________
(Ex: johndoe@aol.com) See instruction sheet for disclosure information
8. Phone Number:
(_______________) ____________________________________________________
Area Code Phone Number
TDLR Form COS013 rev February 2017
Page 1 of 2
* Must provide a Federal Tax ID number in item 11.
14. STATEMENT OF APPLICANT
I certify that I will comply with all applicable provisions of the Texas Occupational Code, Chapters 51, 1602, and 1603; 16 Texas Ad-
ministrative Code, Chapter 60; and the Cosmetology Administrative Rules, 16 Texas Administrative Code, Chapter 83. I also certify
that I will not open for business until I have met all requirements for opening a salon and have received the salon license. I understand
that providing false information on this application may result in revocation of the license I am requesting and the imposition of admin-
istrative penalties.
_________________ ___________________________________________________________________________
Date Signed Owner or Corporate Officer Signature
_________________ ___________________________________________________________________________
Date Signed Owner or Corporate Officer Signature
LIST ALL OWNERS WITH 25% OR MORE OWNERSHIP OF THIS BUSINESS. ATTACH ADDITIONAL PAGES IF NEEDED.
TDLR Form COS013 rev February 2017
Page 2 of 2
11. Owner Information:
Owner Name or Corporation Name: ____________________________________________________ ______%
Ownership
Owner Social Security Number or Federal Tax ID Number:____________________________________
(See instruction sheet for disclosure information)
Owner Date of Birth: _______ - _______ - _______
Month Day Year
Cosmetology License Number of Owner:
(if applicable)
__________________________________
Owner or Corporation Mailing Address:
_______________________________________________________________________________________________
Number, Street Name, Suite Number/Apartment Number
____________________________________________________________ Phone Number: (______) _____________
City State Zip Code
Area Code Phone Number
Email Address:
_______________________________________________ FAX Number: (______) _____________
(Ex: johndoe@aol.com) See instruction sheet for disclosure information Area Code Phone Number
12. Additional Owners’ Information:
Owner Name: ______________________________ ________________________ __________ ______%
Last
First Middle Initial Ownership
Owner Social Security Number:
______ ______ ______ _____ _____ ______ ______ ______ ______
(See instruction sheet for disclosure information)
Owner Date of Birth: _______ - _______ - _______
Month Day Year
Cosmetology License Number of Owner:
(if applicable)
__________________________________
Owner Mailing Address:
_______________________________________________________________________________________________
Number, Street Name, Suite Number/Apartment Number
____________________________________________________________ Phone Number: (______) _____________
City State Zip Code
Area Code Phone Number
Email Address:
_______________________________________________ FAX Number: (______) _____________
(Ex: johndoe@aol.com) See instruction sheet for disclosure information Area Code Phone Number
13. Required for a salon license:
Checking the box certifies that I will not open for business until I have met all requirements for opening a salon
and have received the salon license.
REQUIREMENTS FOR ALL SALONS
1. All floors in areas where services under the Act are performed, including restrooms and areas where
chemicals are mixed or where water may splash, must be of a material which is not porous or absorbent and
is easily washable, except that anti-slip applications or plastic floor coverings may be used for safety
reasons. Carpet is permitted in all other areas.
2. Sink with hot and cold running water
3. Every establishment shall provide at least one restroom located on or near the premises of the
establishment. For public safety, chemical supplies shall not be stored in the restroom.
4. Identifiable sign, with the salon’s name, must be displayed.
5. A suitable receptacle for used towels/linen.
6. One wet disinfectant soaking container.
7. A clean, dry, debris-free storage area.
8. A minimum of one covered trash container.
9. Licensed premises shall eliminate any strong odors through adequate ventilation, including but not
limited to, exhaust fans and air filtration to exhaust chemicals and fumes away from the public area and
to provide for the input of fresh air.
10. Licensed premises shall not be utilized for living or sleeping purposes, or any other purpose that would
tend to make the premises unsanitary, unsafe, or endanger the health and safety of the public. An
establishment that is attached to a residence must have an entrance that is separate and distinct from the
residential entrance, Any door between a residence and a licensed facility must be closed during business
hours.
11. If manicure or pedicure nail services are provided, the salon must have an autoclave, dry heat sterilizer, or
ultraviolet sanitizer.
12. Copy of current law and rule book.
NOTE: No establishment licensed only for cosmetology shall in any manner advertise or represent, or permit
advertisement or representation to be made on its behalf, that it is a barber shop, whether by use of a device
similar to a barber pole, or otherwise. It may, however, advertise or represent that services for males are availa-
ble.
PO Box 12157
Austin, Texas 78711-2157
(800) 803-9202
(512) 463-6599
FAX (512) 475-2871
www.tdlr.texas.gov
cs.cosmetologists@tdlr.texas.gov
BEAUTY SALON
FOR EACH LICENSEE PRESENT
AND PROVIDING SERVICES
One working station
One styling chair
A sufficient amount of shampoo
bowls, autoclave, dry heat steri-
lizer, or ultraviolet sanitizer, if
providing manicure or pedicure
nail services
ADDITIONAL REQUIREMENTS BY SPECIALTY
MANICURE SALON
FOR EACH LICENSEE PRESENT
AND PROVIDING SERVICES
One manicure table with light
One manicure stool
One professional client chair for
each manicure station
Autoclave, dry heat sterilizer, or
ultraviolet sanitizer
EYELASH EXTENSION SALON
FOR EACH LICENSEE PRESENT AND
PROVIDING SERVICES
One facial bed or massage table
that allows the consumer to lie
completely flat
One lamp
One stool or chair
MANICURE/ESTHETIC SALON
FOR EACH LICENSEE PRESENT AND
PROVIDING SERVICES
One manicure table with light
One manicure stool
One professional client chair for each
manicure station
Autoclave, dry heat sterilizer, or ultra-
violet sanitizer
One facial bed or chair
One mirror
ESTHETIC SALON
FOR EACH LICENSEE PRESENT
AND PROVIDING SERVICES
One facial bed or chair
One mirror
HAIR WEAVING SALON
FOR EACH LICENSEE PRESENT AND
PROVIDING SERVICES
One work station
One styling chair
A sufficient amount of shampoo
bowls for licensees providing hair
weaving services
WIG SALON
FOR EACH LICENSEE PRESENT
AND PROVIDING SERVICES
One mannequin table, station, or
styling bar to accommodate a
minimum of 10 hairpieces
One wig dryer
Two canvas wig blocks
INDEPENDENT CONTRACTORS
Cosmetology establishments may lease space to an independent contractor who holds a booth rental
(independent contractor) license. The lessor (salon owner) of an independent contractor must maintain a list of
all booth renters that includes the name of the booth renter and the cosmetology license number of the booth
renter. The lessor must supply the department inspector with a list of booth renters upon request.
COMPLAINTS
Complaints can be filed by sending mail to
T
e
xas Department of Licensing & Regulation
Attention: Enforcement Division
P
.O. Box 12157
Austin, T
e
xas 7871
1
Emailed to
Intake@tdlr
.texas.gov
or file online at
www
.tdlr
.texas.gov/complaints
T
o
ll-Free (in T
e
xas): (800) 803-9202
TDL
R
Fo
rm L
IC009 Feb
ru
a
ry 2017
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