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The information requested will be used to determine qualifications for licensure or certification to determine compliance with the group and corporate practice provisions of the law and to establish positive identification.ĪNY KNOWN OR FORESEEABLE DISCLOSURES WHICH MAY BE MADE OF THE INFORMATION: Your completed application becomes the property of the board and will be used by authorized personnel to determine your eligibility for a license or certification. PRINCIPAL PURPOSE(S) FOR WHICH THE INFORMATION IS TO BE USED: Omission of any item of requested information will result in the application being rejected as incomplete. It is mandatory that you provide all information requested. Sections 7300 to 7457, inclusive, comprising Chapter 10 Division 3, of the California Business and Professions Code.ĬONSEQUENCES OF NOT PROVIDING ALL OR ANY PART OF THE REQUESTED INFORMATION: TITLE OF OFFICIAL RESPONSIBLE FOR INFORMATION MAINTENANCE:Ģ420 Del Paso Road, Suite 100, Sacramento, CA 95834ĪUTHORITY WHICH AUTHORIZES THE MAINTENANCE OF THE INFORMATION: 1798.17 Civil Code, requires the following information to be provided when collecting information from individuals.

INFORMATION COLLECTION, ACCESS AND DISCLOSURE I certify under penalty of perjury under the laws of the State of California that all statements furnished in connection with this application are true and accurate and that I have not changed my address for the purpose of fraud.  If you have a name change, please include a current copy of government-issued photographic identification (e.g., driver’s license, passport, alien registration, etc.) AND one of the following: certified court order, marriage certificate, dissolution of marriage, certified declaration of domestic partnership, or notarized document verifying name change. It is illegal to work without a valid, unexpired license. Allow sufficient time so that you are not working with an expired license.  Processing Times: License renewals may take up to 8 weeks. IMPORTANT INFORMATION (Please Read Carefully) License contact the Board or visit the Board’s Web site to acquire an establishment application.

Important Notice: Changing the address on an establishment or mobile unit is prohibited without applying for a new If your address has changed do you want the Board to update our records with your current address? Last 4 digits of your Social Security Number: Make payable to the Board of Barbering & Cosmetology (Incomplete forms will not be processed). Mail this form and a separate check or money order (do not send cash) with the applicable fee for each renewal to the address above. State and Consumer Services Agency – Governor Edmund G.