Get Fd-56 Application For A Cba Operator/manager - Dhh

Completing the FD-56 Application for a CBA Operator/Manager through the Department of Health and Hospitals is an essential step for individuals looking to manage or operate a commercial body art facility. This guide will walk you through the process of filling out the form online, ensuring you understand each section and field that requires your attention.

Follow the steps to successfully complete the application.

1. Press the ‘Get Form’ button to obtain the application and open it in your online editor.
2. Indicate your role by selecting either 'Operator,' 'Manager,' or 'Both' as required. Each option comes with an associated fee: Operator ($100), Manager ($200), or Both ($300).
3. Fill out the full name of the operator/manager in the designated field, followed by your mailing address, including city, state, and zip code.
4. Provide your telephone number and email address in the respective fields.
5. Complete your home address details as prompted, including the city, state, and zip code.
6. Affiliations with a body art facility must be stated, including the facility's physical address and contact details such as phone and fax numbers.
7. Record the name of the facility owner and the training details. Specify the training provider (e.g., American Red Cross, American Safety & Health Institute, or other), alternate training provider, and the dates for CPR, First Aid, and Bloodborne Pathogens/Disease Transmission training.
8. Attach proof of your training course completion certificate, diploma, or letter from an approved provider to this application.
9. Sign the application, confirming your compliance with all applicable provisions and acknowledging that the registration is subject to annual renewal by December 31.
10. Ensure to include the required registration fee payment, made by check or money order payable to DHH.
11. After completing the form, you can save changes, download, print, or share your completed application as necessary.

Begin completing your FD-56 Application For A CBA Operator/Manager online today!