Get Ne Dhhs Body Art License Application 2019-2026

Filling out the Nebraska Department of Health and Human Services Body Art License Application can be an important step for individuals wishing to practice body art in Nebraska. This guide provides clear and supportive instructions to help you navigate the form effectively.

Follow the steps to complete your application online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out Section A: Personal Information. Input your legal first, middle, and last names. If you have previously used any other names, list them as well, including maiden names.
3. Complete your address details, including street, city, state or country, and zip code. Provide your Social Security Number, which is mandatory.
4. If applicable, provide your A# or I-94# if you are not a U.S. citizen. Include your date and place of birth.
5. Include your contact information such as phone number and email address. This information is optional but may facilitate communication.
6. Indicate whether you have ever been denied the right to take a license examination in any state. If yes, provide an explanation.
7. If you are the spouse of an active-duty military member with an assignment in Nebraska, indicate this and include the required documentation for a temporary license.
8. Move to Section B: Conviction and Licensure Information. List any misdemeanor or felony convictions you have received. Remember, it's important to disclose all relevant convictions.
9. Proceed to Section C: Education. Select and document your highest level of education, whether high school diploma, GED, or equivalent.
10. In Section D: Training, provide details of completed Bloodborne Pathogen Training and Basic First Aid Training, including provider names and dates completed.
11. Fill out Section E regarding practice prior to licensure. If you practiced body art in Nebraska without a license, report the number of days and relevant business details.
12. Complete Section F: Attestation. Check the appropriate box regarding your citizenship or legal presence, sign, and date the application.
13. Submit your application to the Licensure Unit with all required documents, including citizenship proof, education documents, and applicable fees or fee waiver form.

Take the next step in your body art career by completing the NE DHHS Body Art License Application online today!