Blank Texas Tdlr Bar PDF Template
Form Example
T EX AS D EPART M EN T O F LI CEN SI N G AN D REGU LAT I O N
P. O. Box 1 2 1 5 7 - Au st in , Te x a s 7 8 7 1 1 - 2 1 5 7
(8 0 0 ) 8 0 3 - 9 2 0 2 - ( 5 1 2 ) 4 |
6 3 - 6 5 9 9 - FAX ( 5 1 2 ) 4 7 5 - 2 8 7 1 |
w w w . tdlr.texas.gov - |
cs.ba r be r s@tdlr.texas.gov |
APPLI CATI ON FOR:
Te x a s Ba r be r Sh op Pe r m it
PURSUANT TO OCCUPATI ONS CODE, CHAPTER 1601
D O N OT W RI TE I N TH E FEE AREA I M M ED I ATELY BELOW
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License |
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$ 60 . 00 |
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Pe r m it # |
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D O N OT W RI TE ABOV E TH I S LI N E |
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N OTE: |
ALL I NFORMATI ON MUST BE TYPED OR PRI NTED I N I NK. |
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1 . Sh op N a m e ( List t w o ch oice s) : |
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B. |
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2 . Ope n in g D a t e ( Ch a n ge of Ow n e r D a t e ) : |
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3 . N or m a l Bu sin e ss D a y s a n d H ou r s Ope n : Day s: |
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Hour s: |
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4 . Sh op’s M a ilin g Addr e ss a n d Con t a ct I n for m a t ion : ( USED FOR ALL CORRESPONDENCE) |
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Num ber , St r eet and Apar t m ent No. |
- OR - |
P. O. Box Num ber |
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Ar ea Code Phone Num ber |
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FAX Num ber : ( |
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Ar ea Code Phone Num ber |
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E- m ail Addr ess ( j ohndoe@aol. com for ex am ple) |
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5 . Sh op’s Ph y sica l Addr e ss:
Num ber , St r eet and Suit e No.
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E- m ail Addr ess ( j ohndoe@aol. com for ex am ple) |
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6 . I s t h is sh op a lice n se d Cosm e t ology Sa lon a s w e ll: ( cir cle one) |
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I f “ YES” list t he Cosm et ology Salon License Num ber : |
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7 . Or ga n iz a t ion Ty pe : ( cir cle on e ) Sole Pr opr ie t or sh ip
Lim it e d Lia bilit y Com pa n y
Cor por a t ionLim it e d Pa r t n e r sh ip
Lim it e d Lia bilit y Pa r t n e r sh ip
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TH I S FORM CON SI STS OF 2 PAGES. |
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TD LR BAR ( r e v 0 8/ 2 0 1 3) |
Th is docum ent is av ailable on t he TDLR w ebsit e at w w w . tdlr.texas.gov/ bar ber s/ bar ber for m s. ht m |
BELOW , LI ST ALL OW N ERS TH AT H AV E 2 5 % OR M ORE OW N ERSH I P OF TH E BUSI N ESS. YOU M AY ATTACH AD D I TI ON AL PAGES I F N ECESSARY.
8 . Bu sin e ss N a m e ( Ow n e r N a m e , if Sole Pr opr ie t or sh ip) :
%
Ow ner ship Per cent age
Fe de r a l I D N o . or Ow n e r Socia l Se cu r it y N o . * :
M a ilin g Addr e ss a n d Con t a ct I n for m a t ion :
Num ber , St r eet and Apar t m ent No. - OR - P. O. Box Num ber
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E- m ail Addr ess ( j ohndoe@aol. com for ex am ple) |
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9 . Addit ion a l Ow n e r I n for m a t ion , M a ilin g Addr e ss a n d Con t a ct I n for m a t ion : ( if necessar y ) |
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N a m e : |
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____________________ % |
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Fe de r a l I D N o. or Ow n e r Socia l Se cu r it y N o . * :
M a ilin g Addr e ss a n d Con t a ct I n for m a t ion :
Num ber , St r eet and Apar t m ent No. - OR - P. O. Box Num ber
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STATEM EN T OF APPLI CAN T( S)
I ce r t ify t h a t I w ill com ply w it h a ll a pplica ble pr ovision s of t h e Te x a s Occu pa t ion s Code , Ch a pt e r s 5 1 , 1 6 0 1 a n d 1 6 0 3 ; 1 6 TX Adm in . Code , Ch a pt e r 6 0 ; a n d, t h e Ba r be r Ad m in ist r a t ive Ru le s, 1 6 TX Adm in . Code , Ch a pt e r 8 2 .
I a lso ce r t ify t h a t I w ill n ot ope n for bu sin e ss u n t il I h a v e m e t a ll r e qu ir e m e n t s for ope n in g a Ba r be r sh op a n d h a v e r e ce iv e d m y Ba r be r sh op lice n se .
I u n de r st a n d t h a t pr ovidin g fa lse in for m a t ion on t h is a pplica t ion m a y r e su lt in r e voca t ion of t h e lice n se I a m r e qu e st in g a n d t h e im posit ion of a dm in ist r a t iv e pe n a lt ie s.
Dat e Signed |
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Signat ur e of Ow ner |
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Cor porat e Officer |
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Dat e Signed |
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Signat ur e of Ow ner |
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Cor porat e Officer |
* N ot e : I f you ha ve a Socia l Se cu r it y N u m be r ( SSN ) , Se ct ion 2 3 1 . 3 0 2 of t h e Te x a s Fa m ily Code REQUI RES a ll a pplica n t s t o disclose t h e ir SSN w h e n filing a n a pplica t ion . The SSN t h a t is pr ovide d is con fide n t ia l a nd is r e qu ir e d t o e n for ce Ch ild Suppor t or de r s.
TEXAS DEPARTMENT OF LICENSING AND REGULATION
P.O. Box 12157 Austin, Texas 78711 (512
Email Address: cs.barbers@tdlr.texas.gov Internet Address: www.tdlr.texas.gov
REQUIREMENTS FOR ALL BARBER & SPECIALTY SHOPS
Shop and Shop Conditions:
1.Exterior Sign using the word “Barber Shop”, “Barber Salon”, or any phrase containing the word Barber.
2.Barbershops may display a Barber Pole. However, if displayed the pole shall be red and white, with the optional blue.
3.Floors made of
4.Floors, ceilings, shelves, furniture, furnishings, and fixtures clean and in good repair (no cracks).
5.Plumbing fixtures, including toilets and wash basins, kept clean and in good repair.
6.One sink or wash basin for every three barber chairs or stations.
7.Hot and cold running water within the areas where work is being done and supplies dispensed.
8.Container of liquid disinfectant at each work station used by a barber or specialty licensee.
9.Food and drinks not prepared or sold in shop for client consumption.
10.Adequate ventilation to exhaust any chemicals or strong odors from the public area and to provide fresh air.
11.Not used for living or sleeping quarters.
12.Autoclave, dry heat sterilizer, or ultraviolet sanitizer, if manicure or pedicure services are provided in the shop.
13.No animals allowed except for those providing assistance to individuals.
14.Separated by a solid wall and separate door from restaurant or food preparation area.
15.Separate entrance if attached to a residence. Any door between shop and residence must be closed during business hours.
16.Not used for any purpose that would tend to make the premises unsanitary, unsafe, or endanger the health and safety of the public.
Revised 02/2012
Austin Headquarters: E.O. Thompson State Office Building · 920 Colorado · Austin, Texas 78701
Required Posters, Forms, and Lists:
1.Sanitation Rules posted.
2.Consumer Complaint Sign (“regulated by”) posted.
3.List of all licensees and permits of all employees and independent contractors (booth renters).
Restroom Requirements:
1. One restroom in or near shop; no chemicals stored in the restroom.
Other Requirements:
1.A shop that employs both barbers and cosmetologists must have a Dual Shop Permit or both a barber shop permit and a cosmetology salon license.
2.Barber poles may be displayed only by shops that have a valid Barber Shop or Dual Shop Permit. (Barber shops are not required to display a barber pole).
3.Only a licensed barber may shave a beard or mustache, or use a razor to outline the hair, or shave the back of the neck.
4.Shops must be in compliance with all local ordinances and requirements (example: fire codes/occupancy).
5.Licensees may not use or possess any of the following substances or products in performing barbering services.
a.Methyl Methacrylate Liquid Monomers (also known as, MMA).
b.
c.Alum or other astringents in stick or lump form. Powder or liquid is permissible.
d.Fumigants such as Formalin (formaldehyde tablets).
United States Food and Drug Administration (FDA) – Related
1.Licensees shall not use any product in providing a service authorized under the Act that is banned or deemed to be poisonous or unsafe by the FDA or other local, state, or federal governmental agencies responsible for making such determinations.
2.Possession or storage on licensed premises of any item banned or deemed to be poisonous or unsafe by the FDA or other governmental agency shall be considered prima facie evidence of its use.
3.For the purpose of performing services authorized under the Act, no licensee shall buy, sell, use, or apply to any person liquid monomeric methyl methacrylate (MMA), a chemical banned for use in nail services by the FDA.
Revised 02/2012
Austin Headquarters: E.O. Thompson State Office Building · 920 Colorado · Austin, Texas 78701
Texas Department of Licensing & Regulation
Barber Program
Health & Safety Rules
The following health and safety (sanitation) rules must be posted in all barber and barber specialty shops (Chapter 1601.452, Texas Occupations Code), barber schools (Chapter 1601.552, Texas Occupations Code), and dual barber and beauty shops (Chapter 1603.205, Texas Occupations Code).
Please make copies of these health and sanitation rules as needed, or copies may be downloaded from the TDLR website at the following internet address:
www.tdlr.texas.gov/barbers/barbers.htm
For more information or to request copies by mail,
Barber Program
Texas Department of Licensing & Regulation
PO Box 12157
Austin, TX 78711
cs.barbers@tdlr.texas.gov
customer.service@tdlr.texas.gov
Revised
82.100. Health and Safety Definitions. (Rule effective March 1, 2006, 31 TexReg 1297; amended effective August 1, 2006, 31 TexReg 5947; amended effective January 1, 2008, 32 TexReg 9966; amended effective February 1, 2012, 37 TexReg 319)
The following words and terms, when used in this chapter, shall have the following meanings, unless the context clearly indicates otherwise.
(1)Chlorine bleach
(A)Low level disinfection (100 - 200
(B)High level disinfection (1,000
(C)Blood and body fluid cleanup and disinfection (5,000
(2)Clean or
(3)Disinfect or
(4)
(A)an
(B)a chlorine bleach solution used in accordance with this chapter; or
(C)an Isopropyl alcohol used at a concentration of at least 70% and ethyl alcohol used at a concentration of at least 90%.
(5)
(6)Isopropyl or Ethyl
(7)
(8)
(9)Sterilize or
Revised
(10)Sanitize or
82.101. Health and Safety
TexReg 1297; amended effective August 1, 2006, 31 TexReg 5947)
(a)
(1)Implements and surfaces shall first be thoroughly cleaned of all visible debris prior to disinfection.
(2)Some disinfectants may be sprayed on the instruments, tools, or equipment to be disinfected.
(3)Disinfectants in which implements are to be immersed shall be prepared fresh daily or more often if solution becomes diluted or soiled.
(4)In all cases the disinfectant shall be used in accordance with the manufacturers’ recommendation or other guidance in this rule.
(5)These chemicals are harsh and may affect the long term use of scissors and other sharp objects. Therefore, the Department recommends leaving items in solution in accordance with the manufacturers’ recommendation for effective disinfection.
(b)Chlorine bleach solutions shall be used as follows:
(1)Chlorine bleach at the appropriate concentration is an effective disinfectant for all purposes in a salon.
(2)Chlorine bleach solutions shall be mixed daily.
(3)Chlorine bleach shall be kept in a closed covered container and not exposed to sunlight.
(4)Chlorine bleach may affect the
(5)Chlorine bleach vapors might react with vapors from other chemicals. Therefore chlorine bleach shall not be placed or stored near other chemicals used in salons (i.e. acrylic monomers, alcohol, or other disinfecting products) or near flame.
(6)Used or soiled chlorine bleach solution shall be properly disposed of each day.
(c)Isopropyl or Ethyl alcohols shall be used as follows:
(1)isopropyl alcohol at a concentration of at least 70% and ethyl alcohol at a concentration of at least 90% are
(2)Alcohol shall not be used to clean and disinfect blood or body fluid.
(3)All alcohol shall be kept in a covered container. Alcohol deteriorates in some plastics, metals and rubber items.
(4)Alcohol may affect the
Revised
(5)The Department recommends leaving items in alcohol in accordance with the manufacturer’s recommendation for effective disinfection. When using alcohol on surfaces other than
(6)Alcohol may be sprayed onto porous or absorbent surfaces after cleaning, with contact time on the surface of the item for at least 1 minute, provided the porous items have not contacted broken or unhealthy skin or nails.
82.102. Health and Safety
amended effective August 1, 2006, 31 TexReg 5947)
(a)All barber establishments and licensees shall utilize clean and disinfected equipment, tools, implements, and supplies in accordance with this Chapter, and shall employ good hygiene habits while providing barbering services.
(b)A licensee may not perform services on a client if the licensee has reason to believe the client has a contagious condition such as head lice, nits, ringworm; or inflamed, infected, broken, raised or swollen skin or nail tissue; or an open wound or sore in the area to be serviced.
(c)
(d)
(e)Electrical equipment that cannot be immersed in liquid shall be wiped clean and disinfected prior to each use on a client.
(f)All clean and disinfected implements and materials when not in use shall be stored in a clean, dry,
(g)A container of liquid disinfectant shall be located at each barber chair or station in a barber establishment to be used to disinfect combs, brushes, scissors or other equipment which may be safely immersed in a liquid disinfectant.
(h)Shampoo bowls and manicure tables shall be disinfected prior to use for each client.
(i)Floors in barber establishments shall be thoroughly cleaned each day. All hair cuttings shall be removed as soon as practicable.
(j)All trash containers must be emptied daily and kept clean by washing or using plastic liners.
(k)Hand washing facilities, including hot and cold running water must be provided for employees.
(l)Clean towels shall be used on each client. Towels must be washed in hot water and chlorine bleach.
(m)Soiled towels shall be removed after use on each client and deposited in a suitable receptacle.
Revised
(n)Each barber establishment shall keep all products used in the conduct of their business properly labeled in compliance with OSHA requirements.
(o)Haircutting capes and shampoo capes shall be kept clean. A clean
82.103. Health and Safety
effective March 1, 2006, 31 TexReg 1297)
(a)Barbers shall wash their hands with soap and water, or use a liquid hand sanitizer, prior to performing any services on a client.
(b)All equipment, implements, tools and materials shall be properly cleaned and disinfected in accordance with this rule prior to servicing each client.
(c)After each client, all
(d)At the end of each day of use, the above items, along with any other tools, such as sectioning clips, brushes, comb and picks shall be cleaned by manually scrubbing with soap and water or adequate methods, and then disinfected by one of the following methods:
(1)Complete immersion in an
(2)Complete immersion in isopropyl alcohol or ethyl alcohol;
(3)Complete immersion in a
82.104. Health and Safety
(a)Barbers and barber technicians shall wash their hands with soap and water, or use a liquid hand sanitizer, prior to performing any services on a client. Gloves shall be worn during any type of extraction.
(b)Equipment, implements, tools and materials shall be properly cleaned and disinfected prior to servicing each client in accordance to this rule.
(c)Facial chairs and beds, including headrest for each, shall be cleaned and disinfected prior to providing service to each client. The chair or bed shall be made of or covered in a
(d)After each client, multiple use implements such as metal tweezers and comedone extractors shall be cleaned and disinfected.
(e)The following implements are
Revised
(f)The following items that are used during services shall be replaced with clean items for each client: disposable and terry cloth towels, hair caps, headbands, brushes, gowns, makeup brushes, spatulas that contact skin or products from
(g)Items subject to possible cross contamination such as creams, cosmetics, astringents, lotions, removers, waxes, moisturizers, masks and oils shall be used in a manner so as not to contaminate the remaining product. Applicators shall not be
(1)Disposing of the remaining product before beginning services on each client; or
(2)Using a
(3)Using an applicator bottle to apply the product.
82.105. Health and Safety
(a)Barbers and barber technicians shall clean the areas of the client’s body on which the service is to be administered. Barbers and barber technicians may perform waxing services only on the face and/or neck of a client.
(b)Barbers and barber technicians shall wash their hands with soap and water, or use a liquid hand sanitizer, prior to performing any services on a client.
(c)Barbers and barber technicians performing waxing services shall dispose of after each use all wax that has been in contact with a client’s skin. Wax may not be reused under any circumstances.
(d)All wax pots shall be cleaned and disinfected in accordance with manufacturer’s recommendations. No applicators shall be left standing in the wax at any time.
82.106. Health and Safety
TexReg 1297; amended effective August 1, 2006, 31 TexReg 5947; amended effective October 11, 2007, 32 TexReg 7048; amended effective February 1, 2012, 37 TexReg 319)
(a)Barbers and barber manicurists shall clean their hands with soap and water or a hand sanitizer prior to performing any services.
(b)Barbers and barber manicurists shall clean the areas of the client’s body on which the service is to be administered.
(c)All metal manicure and pedicure tools shall be properly cleaned, disinfected and sterilized or sanitized after each service, in accordance with this chapter, regardless of the tool’s multiuse for only a sin- gle client or for multiple clients.
(d)After each client, the following implements shall be cleaned, disinfected, and sterilized or sanitized in accordance with the rule: metal pusher and files, cuticle nipper and scissors, metal tweezers, finger and toe nail clippers and electric drill bits.
(e)The following implements are
Revised
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Common mistakes
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Incomplete Information: Many applicants fail to provide all required details, such as the shop name, opening date, or contact information. Each section must be filled out completely to avoid delays.
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Incorrect Fee Payment: Applicants often overlook the fee section, either by failing to include the payment or by providing the wrong amount. Ensure that the correct fee of $60 is included to process the application smoothly.
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Failure to Sign: Some individuals forget to sign the application. Both owners or corporate officers must provide their signatures. Without these, the application will not be considered valid.
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Neglecting Owner Information: When listing owners, applicants sometimes omit necessary details, such as ownership percentage or federal ID numbers. This information is crucial for compliance and must be accurate.
Key takeaways
Here are key takeaways for filling out and using the Texas TDLR Bar form:
- Complete the Form Accurately: Ensure all information is typed or printed clearly in ink. Inaccurate details may delay processing.
- Choose Shop Names: List two choices for the shop name as required. This helps in case your first choice is unavailable.
- Provide Correct Contact Information: Include the shop's mailing address and contact details. This information is crucial for all correspondence.
- Specify Business Type: Indicate the type of organization, such as sole proprietorship or corporation. This affects how the business is registered.
- List Owners: Include all owners with 25% or more ownership. Attach additional pages if necessary for clarity.
- Understand the Fees: The application fee is $60. Ensure payment details are correctly filled out to avoid processing issues.
- Compliance with Regulations: Acknowledge that compliance with Texas Occupations Code and related rules is mandatory. Non-compliance can lead to penalties.
- Keep Copies: Retain copies of the completed form and any correspondence. This documentation may be needed for future reference.
Steps to Using Texas Tdlr Bar
Completing the Texas TDLR Barber form is a straightforward process that requires careful attention to detail. This form is essential for obtaining a barber shop permit in Texas. Follow the steps below to ensure that all necessary information is accurately provided.
- Obtain the Form: Download the Texas TDLR Barber form from the official TDLR website or request a physical copy.
- Fill in the Shop Name: List two choices for your shop name in the designated area.
- Enter the Opening Date: Provide the date when the shop will officially open or the change of ownership date.
- List Business Days and Hours: Specify the normal business days and operating hours of the shop.
- Provide Mailing Address: Enter the shop’s mailing address, including street number, city, state, zip code, and contact information.
- Physical Address: Fill in the shop’s physical address, including street number, city, state, zip code, and contact information.
- Cosmetology Salon License: Indicate whether the shop is also a licensed cosmetology salon and provide the license number if applicable.
- Choose Organization Type: Circle the appropriate organization type (Sole Proprietorship, Limited Liability Company, Corporation, Limited Partnership, Limited Liability Partnership).
- List Owners: Provide details for all owners with 25% or more ownership, including names, ownership percentages, and contact information.
- Sign the Application: Both the owner and any corporate officers must sign and date the application, certifying compliance with all applicable regulations.
- Submit the Form: Send the completed form along with the required fee to the Texas Department of Licensing and Regulation at the address provided.
After submitting the form, you will await confirmation from the TDLR regarding the status of your application. Ensure you keep a copy of the completed form and any correspondence for your records. If further information is needed, the TDLR will reach out to you directly.