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:
osbc.inspectors@cos.ohio.gov
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
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