SOUTH DAKOTA COSMETOLOGY COMMISSION
SOUTH DAKOTA DEPARTMENT OF LABOR AND REGULATION
SOUTH DAKOTA COSMETOLOGY COMMISSION
500 E Capitol Ave, Pierre, SD 57501 Tel: 605.773.6193 Fax: 605.773.7175 cosmetology.
LICENSE RENEWAL NOTICE AND APPLICATION FORM
AS OF 2020
*Complete and postmark before YOUR annual renewal date to avoid any penalties.* Send to the address above.
Fees must accompany this form. Check or Money Order. License fees are non-refundable.
Use this form if you do not have the renewal from that is attached to the bottom portion of your current license. ** One form per license renewal. **
$25 for a personal license (renewal annually on YOUR BIRTHDAY) Fees changed in 2020. I wish to renew my license (check one): Cosmetology Nail Technician Esthetician
$35 for an instructor license (renewal annually on YOUR BIRTHDAY) I wish to renew my license (check one): Instructor
$40 for each salon/booth license (renewal annually on SALON OPENING DATE) Fees changed in 2020.
I wish to renew my license (check one): Cosmetology Salon
Nail Salon
Cosmetology Booth
Nail Booth
Esthetician Salon
Limited Salon
Esthetics Booth
$5 for each duplicate license: Number of Licenses: _______________
License number: _____________________________________
If paying or postmarked after the annual renewal date, include a $20 late fee to the license fee. Name: _______________________________________________________________________________________
Is this a name change: No Yes - Previous Name: ____________________________________________
(PROVIDE LEGAL PROOF OF NAME CHANGE)
Phone Number: ______________________________ Email: _______________________________________
Salon/Booth Name (for salon/booth renewal only): ________________________________________________________
Address: __________________________________________ ____________________________ _____ __________
STREET
CITY
STATE ZIP
Is this a name address change: No Yes - Previous Address: _____________________________________________
License Number (if you know it): ______________________________________ Expiration Date: _____/______/______ I declare and affirm under the penalties of perjury this application has been examined by me, and to the best of my knowledge and belief is, in all things, true and correct. Signature:_________________________________________________________________________________
If your license has expired for more than one year, you must contact the Cosmetology Commission office at 605.773.6193.
DLR COSMETOLOGY LICENSE RENEWAL NOTICE AND APPLICATION FORM
Rev. 01/2020
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- you may apply online or in person new york city
- renewal application for two year booth rental
- instructions for reactivation of an inactive license
- the nys department of state division of licensing
- renewal information
- application for reciprocity
- board of cosmetology
- the nys department of state division of licensing of
- south dakota cosmetology commission
- instructions to update your address new york state
Related searches
- south dakota school report card
- south dakota school ranking
- south dakota doe
- south dakota high schools
- south dakota education ranking
- south dakota hs football rankings
- south dakota school ratings
- south dakota football polls
- south dakota high school basketball
- south dakota high school football scores
- south dakota public schools
- south dakota school rankings