Siskiyou County, CA · Siskiyou County
Body Art Practitioner Application
Body art practitioners use this application to register or renew registration for tattooing, body piercing, permanent cosmetics, or branding in Siskiyou County.
At a glance
- Issued by
- City of Siskiyou County · Siskiyou County, Siskiyou County, California
- Notarization
- Not required: file this form without a notary.
- Official source
- siskiyoucounty.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This application is for new registration or annual renewal for practitioners who provide tattooing, body piercing, permanent cosmetics, or branding in Siskiyou County. It requests practitioner and facility details, services offered, proof of age, current bloodborne pathogen training, and Hepatitis B vaccination status documentation. The application lists a $30 registration fee and states incomplete applications will not be accepted.
Who needs it
Practitioners who are applying for new registration or annual renewal to provide body art services in Siskiyou County need this application.
How to submit it
Submit the application to the Siskiyou County Community Development Department Environmental Health Division, 806 South Main Street, Yreka, California 96097. The form lists a $30 registration fee.
About notarization
This application is signed and dated without a notary; it includes a declaration under penalty of perjury, but does not require notarization.
How to submit this form
- 1
Download the Application
Download the Body Art Practitioner Application for new registration or annual renewal.
- 2
Complete the Application
Provide your legal name, contact details, facility information, services offered, and required training and vaccination information.
- 3
Gather Required Documents
Include proof of age, a current bloodborne pathogen training certificate, and documentation of Hepatitis B vaccination status.
- 4
Submit to the County
Submit the completed application and listed documents to the Environmental Health Division at 806 South Main Street, Yreka, California 96097.
Frequently asked questions
- Do I need a notary for the Body Art Practitioner Application?
- No. The application is signed and dated without a notary. It includes a declaration under penalty of perjury, but does not require notarization.
- How do I submit the Body Art Practitioner Application?
- Submit it to the Siskiyou County Community Development Department Environmental Health Division at 806 South Main Street, Yreka, California 96097.
- What documents must accompany the application?
- The form requires proof of age, a current bloodborne pathogen training certificate, and documentation of Hepatitis B vaccination status. It also lists a $30 registration fee.