Louisiana Board of Cosmetology



RECIPROCITY APPLICATION

I hereby make application to the Louisiana State Board of Cosmetology for certification of registration under the law of the State of Louisiana, and attach all requirements, together with a money order, or cashier’s check, made payable to the Louisiana State Board of Cosmetology.

PLEASE PRINT

NAME__________________________________________________________________________________________________________________

ADDRESS______________________________________________________________________________________________________________

CITY__________________________________________STATE _____________________ZIP CODE____________________________________

DAYTIME TELEPHONE NUMBER_________________________________________________________________________________________

BIRTH DATE___________________________________ AGE______ SEX______ SS#________________________________________________

STATE WHERE CURRENTLY LICENSED___________________________________________________________________________________

STATE WHERE ORIGINALLY LICENSED___________________________________________________________________________________

TYPE OF LICENSE APPLYING FOR________________________________________________________________________________________

NAME OF BEAUTY SCHOOL ATTENDED__________________________________________________________________________________

EXPIRATION DATE______________________________ LICENSE #_____________________________________________________________

REQUIREMENTS

1. CURRENT ORIGINAL LICENSE, (which will be returned after processing)

2. ONE CURRENT PICTURE (wallet size)

3. CERTIFICATION OF HOURS EARNED

PLEASE CONTACT THE STATE BOARD OFFICE IN THE STATE THAT YOU WERE ORIGINALLY LICENSED AND HAVE THEM MAIL THIS INFORMATION DIRECTLY TO OUR OFFICE.

4. TOTAL FEE OF $50.00 FOR A LOUISIANA RESIDENT - $75.00 FOR A NONRESIDENT APPLICANT

5. A COPY OF YOUR DRIVER LICENSE OR IDENTIFICATION CARD ALONG WITH A COPY OF THE SOCIAL SECURITY CARD.

6. ALL APPLICANTS MUST TAKE A STATE WRITTEN EXAM.

The state exam is based on Louisiana regulations. Copies of the regulations can be downloaded from the internet web-site lsbc..

OR

A copy can be ordered from: Louisiana State Board of Cosmetology

11622 Sunbelt Court

Baton Rouge LA 70809

The document is the Louisiana Administrative Code, Title 46, Professional and Occupational Standards, Part XXXI. Cosmetologist. The cost for this handbook is $7.07 – Please make money order or check payable to STATE REGISTER.

DATE_________________________ SIGNATURE__________________________________

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