Get Tx Tdlr Form Las011 2022-2025

This guide provides users with a comprehensive overview of how to fill out the TX TDLR Form LAS011 online. By following these steps, you will ensure that your application for the Laser Hair Removal Facility Certificate of Registration is completed accurately and efficiently.

Follow the steps to successfully complete the TX TDLR Form LAS011 online.

1. Press the ‘Get Form’ button to access the TX TDLR Form LAS011 and open it in your preferred editor.
2. Begin by entering the facility name in the designated field. Ensure that you provide the full legal name of the facility.
3. Input the facility phone number, including the area code, ensuring it is accurate for official communications.
4. Enter the facility fax number in the corresponding field, also including the area code.
5. Provide your email address in the appropriate field. This will allow the Texas Department of Licensing and Regulation (TDLR) to send necessary licensing communications to you electronically.
6. Write your current mailing address, which can include a P.O. Box. You may opt to include the zip plus-4 for improved delivery accuracy.
7. List the physical address of your facility, making sure not to use a P.O. Box for this entry.
8. Designate the Laser Hair Removal (LHR) Professional by entering their name and certificate number.
9. Specify the Laser Safety Officer (LSO) by entering their name and the corresponding certificate or license number. Also, provide their contact information.
10. Input the consulting physician's name, license number, phone number, and email address, ensuring you have attached a copy of the written contract with this physician.
11. Indicate the type of business ownership by checking the relevant box and filling out the necessary information as required based on the selected ownership type.
12. Read the statement of operator and LSO carefully. Both the operator and LSO must sign and date this section.
13. Finally, review the entire form for accuracy. Save your changes, and consider options to download, print, or share the completed form.

Start completing your TX TDLR Form LAS011 online today to ensure a smooth application process!