Get Application For Registration Of A Facility Engaged In The ... - Rivcoeh

Completing the application for registration of a facility engaged in tattooing, body piercing, or permanent cosmetics is an essential step to ensure compliance with health regulations. This guide provides a clear and supportive outline on how to successfully fill out this application online.

Follow the steps to accurately complete your application.

1. Press the ‘Get Form’ button to access the application form and open it in your preferred document editor.
2. Begin by entering the facility fee amount, which is $233.00, in the designated section.
3. Fill in the full name of the owner in the provided field.
4. Indicate the owner's date of birth in the corresponding field labeled 'DOB.'
5. Specify the 'Doing Business As' (DBA) name of the facility in the area provided.
6. Complete the site address of the facility, including the street address, city, state, and ZIP code.
7. Provide both the business phone and cell phone numbers in the specified fields.
8. Enter the email address associated with the facility for communication purposes.
9. Attach a copy of the current California ID or driver's license as required.
10. Check all procedures that will be performed at the facility, including tattooing, body piercing, permanent cosmetics, and branding as applicable.
11. Submit a copy of your facility’s Infection Prevention and Control Plan in the designated area.
12. Confirm that you are at least 18 years of age by signing in the space provided for the applicant's signature.
13. Date your application in the section marked 'Date.'
14. Finally, mail the completed application along with the payment check or money order to the County of Riverside Department of Environmental Health at the provided address.

Complete your application online today to ensure your facility meets all regulatory requirements.