Tattoo and Body Piercing Artist License Application

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For all municipal business license questions, contact: City of South Bend • Department of Community Investment 227 West Jefferson Blvd • Suite 1400 S •South Bend, Indiana 46601 • 574.235.5912 • F: 574.235.9021 LICENSE APPLICATION FOR – TATTOO & BODY PIERCING ARTIST MUNICIPAL CODE SECTIONS – 13-125 – 13-152 DEFINITION: Tattoo Technician includes persons providing any of the services of a tattoo establishment for a fee. This includes but is not limited to: tattooing, body branding, and piercing. IF DESCRIPTION DOES NOT APPLY, SEE: Tattoo Establishment (Ord. §§13-125 – 13-152) GENERAL INSTRUCTIONS: 1.Print legibly and complete all sections to ensure efficient processing. 2.Assemble all required information and materials before filing application. 3.Thoroughly review all applicable Municipal Code Sections listed above. 4.Licenses expire January 31. 5.Add $50.00 to the license fee for renewal after January 31. 6.Include $5.00 license application fee payable to City of South Bend. 7.New applicant license fee payable to City of South Bend due at issuance – $125.00. Renewal applicant license fee is $75.00. (See 13-133 for complete schedule of fees). REQUIRED INFORMATION AND MATERIALS: 1.Business Entity information, if applicable. 2.Proposed location where services to be provided, and description of services. 3.Copy of diploma, GED, or degree. 4.Transcript(s) outlining all training and qualifications (see 13-126(a)(7)). 5.Work history and professional associations and memberships. 6.Criminal history. 7.Documentation of completion of Indiana Occupational Safety and Health Administration's blood borne pathogen standards training. 8.Documentation of compliance with all applicable infectious waste handling guidelines, policies, and regulations. 9.Doctor’s written certification applicant has been examined and found free of all communicable disease within thirty (30) days of application. 10.Copy of liability insurance policy, as required.