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2600 Bull Street Columbia, SC 29201 For additional questions, please call: 803-545-4370 DHEC 0234 (01/2020) Page 1 of 8 Retention 16327 Instructions for Completing Licensure Application for Tattoo Facility Division of Health Licensing DHEC 0234 PURPOSE: In accordance with the South Carolina Department of Health and Environmental Control Regulation 61-111, Standards for Licensing Tattoo Facilities, Section 202, an application for licensure shall be kept on file by the Department. INSTRUCTI.

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How to fill out the SC DHEC 0234 online

The SC DHEC 0234 is the licensure application for tattoo facilities in South Carolina, designed to ensure compliance with health regulations. This guide provides a step-by-step approach to assist users in accurately completing the form online.

Follow the steps to effectively complete the SC DHEC 0234 online.

  1. Press the ‘Get Form’ button to obtain the SC DHEC 0234 application form and open it in the appropriate editing tool.
  2. Select the reason for application at the top section of the form. Options include Initial, Relocation, Temporary License Request, Change of Ownership, Renewal, or Other Changes. Ensure only the relevant box is checked based on your situation.
  3. Part A requires basic information about the proposed facility location. Fill in the physical address and contact information of the person to reach regarding application matters.
  4. For Part B, provide detailed facility information if applicable. This includes matching the current license name and specifying the number of stations. Attach all necessary documentation if you are an initial, temporary, or relocation applicant.
  5. Part C focuses on owner information. If there have been changes, fill out the owner details and specify the ownership type. Attach all relevant documents as required.
  6. In Part D, indicate any changes in facility name or licensed stations if these apply. Complete the corresponding sections and include a floor plan if changing the number of stations.
  7. Complete Part E with the necessary verification. Ensure it is signed by the appropriate parties and notarized as required. This step is essential for application validation.
  8. After completing all applicable sections, review the form to ensure all fields are filled out clearly. Save your changes, and proceed to download, print, or share the completed application.

Complete your SC DHEC 0234 application online today to ensure compliance with licensing regulations.

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SC DHEC 0234
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