Form Cos013 - Cosmetology Mobile Salon License Application printable pdf download

PO Box 12157  Austin, Texas 78711-2157

(800) 803-9202  (512) 463-6599  FAX (512) 475-2871

 cs.cosmetologists@tdlr.texas.gov

COSMETOLOGY MOBILE SALON LICENSE APPLICATION INSTRUCTIONS

The application must be completed and signed by the applicant. An application is not considered complete and will not

be processed until all required items have been submitted. All information provided must be typed or printed in black

ink. Attachments must be submitted on separate pieces of single-sided, 8½” x 11” paper. Use a paperclip to fasten all

pages together, with a cashier’s check or money order on top. Do not use staples.

DOCUMENTS SUBMITTED WITH YOUR APPLICATION WILL NOT BE RETURNED. KEEP A COPY OF YOUR

COMPLETED APPLICATION, ALL ATTACHMENTS, AND YOUR CASHIER’S CHECK OR MONEY ORDER.

1. SALON NAME - Write the name of your salon as it should appear on your salon license. (maximum of 40 characters)

2. SALON TYPE - Check the box of the type of salon you want to open. Once your license has been issued, you can

only change the salon type by applying for a new license.

3. MOBILE SALON’S MAILING ADDRESS - Write your current business mailing address. This is the address where

we will send you mail. This address can be a post office box. You can add the zip plus-4 to help the postal service

deliver mail more efficiently and accurately. Always keep your mailing address current with TDLR. A license renewal

notice will be mailed to your address of record before the date your license will expire.

4. PHONE NUMBER - Write a telephone number, including the area code, where we can reach you or leave a mes-

sage for you during the day.

5. EMAIL ADDRESS - Write your email address. Please provide your email address so the department may email li-

cense information and required notices to you. Your email address is confidential pursuant to the Texas Public Infor-

mation Act, and the department will not share it with the public.

6. MOBILE SALON’S PHYSICAL ADDRESS - Write the physical address of your salon. A post office box cannot be

used for this address. Once your license has been issued, you can only change the salon’s physical address by ap-

plying for a new license.

7. FAX NUMBER - Write a fax number, including the area code, where we can send you faxes.

8. PHONE NUMBER - Write a phone number, including the area code, where w can reach you or leave a message for

you during the day.

9. TRACKING METHOD - Check the method that will allow TDLR to track the location of your mobile salon.

10. TYPE OF OWNERSHIP - Check the box that indicates how your business is organized.

11. OWNER INFORMATION - Write the owner information of your business. If this business is a SOLE PROPRIETOR-

SHIP, write your name, social security number, and date of birth in the provided space. Also include your mailing

address and other requested contact information.

Social security number disclosure is required by Section 231.302(1) of the Texas Family Code in order to obtain a

license. Your social security number is subject to disclosure to an agency authorized to assist in the collection of

child support payments. For more information regarding child support payments, contact the Texas Attorney General

at: or call (512) 460-6000 or (800) 252-8014.

See item 6 for information on e-mail disclosure.

12. ADDITIONAL OWNERS’ INFORMATION - Write the additional owners’ information of all persons or entities that

owns at least 25 percent of this business. See item 11 for information on social security number disclosure and item

6 for information on e-mail disclosure.

13. REQUIRED FOR A SALON LICENSE - By checking this box, you agree to not open your business until you have

met all requirements for a salon and have received your salon license.

14. STATEMENT OF APPLICANT - Carefully read the statement before you date and sign your application.

State law prohibits renewing a license more than once after a licensee has defaulted on a student loan guaranteed by the Texas

Guaranteed Student Loan Corporation (TGSLC) unless the licensee has entered into a repayment agreement with TGSLC.

YOU SHOULD CONTACT TGSLC BEFORE FILING THIS APPLICATION if you have defaulted on a student loan. An application or

renewal may be rejected if this agency has received information from TGSLC that the applicant has defaulted on a student loan. The

Texas Guaranteed Student Loan Corporation can be contacted at: Texas Guaranteed ATTN: Collections, PO Box 83100, Round

Rock, TX 78683-3100, Telephone: (800) 222-6297,

or email: .

Form Cos013 - Cosmetology Mobile Salon License Application

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