Get Body Art Practitioner License Application Form - Boston Public ... - Bphc

Filling out the Body Art Practitioner License Application Form accurately is crucial for obtaining the necessary permit to practice body art in Boston. This guide provides clear, step-by-step instructions to assist you in completing the form effectively and efficiently.

Follow the steps to successfully complete your application online.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Select the type of application you are submitting by marking the appropriate option. Choose among 'New application', 'Temporary', 'Tattoo', 'Resubmission', 'Apprentice', 'Renewal', or 'Other Body Arts'. If renewing, include your previous permit number and expiration date.
3. Provide your personal information, including your first name, middle name, last name, address, city, state, zip code, phone number, social security number, and date of birth.
4. Fill in the workplace or establishment information. Include the name and address of the establishment, city, state, zip code, phone number, fax number, and specify the body arts practiced at the establishment.
5. Attach copies of required documents, including identification card options such as a Massachusetts driving license, state identification card, passport, or others as specified. Ensure to include your license number, card number, and expiration date.
6. Document your education and training by providing certificates of completion for required courses such as the Body Art Practitioner License, First Aid/CPR, prevention of disease transmission and bloodborne pathogens, and an anatomy and physiology course.
7. List any medical history related to communicable diseases. Indicate if you have ever been diagnosed with hepatitis or tuberculosis and if you have been immunized against Hepatitis B.
8. Complete the applicant statement of consent section, acknowledging the validity and expiration of the license, and certifying the accuracy of the information provided.
9. Sign and date the application, then review all entries to confirm completeness and accuracy.
10. Save your changes, download, print, or share the completed form as required.

Start your application process and complete the Body Art Practitioner License Application Form online today.