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For all municipal business license questions, contact: City of South Bend • Department of Community Investment <br />227 West Jefferson Blvd • Suite 1400 S •South Bend, Indiana 46601 • 574.235.5912 • F: 574.235.9021 <br />LICENSE APPLICATION FOR – TATTOO & BODY PIERCING ESTABLISHMENT <br />MUNICIPAL CODE SECTION – 13-125 – 13-152 <br />DEFINITION: <br />A Tattoo Establishment refers to all places of business and all areas used by tattoo and piercing <br />practitioners. This primarily includes the facility treatment area, waiting/reception area, and <br />premises. <br />IF DESCRIPTION DOES NOT APPLY, SEE: <br />Tattoo & Body Piercing Artist (Ord. §§13-125 – 13-152) <br />GENERAL INSTRUCTIONS: <br />1.Print legibly and complete all sections to ensure efficient processing. <br />2.Assemble all required information and materials before filing application. <br />3.Thoroughly review all applicable Municipal Code Sections listed above. <br />4.Licenses expire January 31. <br />5.Add $50.00 to the license fee for renewal after January 31. <br />6.Include $5.00 license application fee payable to City of South Bend. <br />7.New applicant license fee payable to City of South Bend due at issuance - $250.00, the <br />renewal license fee is $150.00. (See 13-133 for complete schedule of fees). <br />REQUIRED INFORMATION AND MATERIALS: <br />1.Business Entity information, if applicable. <br />2.Proposed location where services to be provided, and description of services. <br />3.Copy of diploma, GED, or degree. <br />4.Transcript(s) outlining all training and qualifications (see Municipal Code Section 13- <br />127(a)(7)). <br />5.Work history and professional associations and memberships. <br />6.Criminal history. <br />7.Documentation of completion of Indiana Occupational Safety and Health Administration's <br />blood borne pathogen standards training. <br />8.Documentation of compliance with all applicable infectious waste handling guidelines, <br />policies, and regulations. <br />9.Doctor’s written certification applicant has been examined and found free of all <br />communicable disease within thirty (30) days of application. <br />10.Copy of liability insurance policy, as required. <br />11.Personal and professional data on all employees providing services, per Municipal Code <br />Section 13-127(a)(11).