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New Jersey Ofce of the Attorney General (State of New Jersey, Dept. of Law & Pub. Safety, Office of the Attorney General)

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New Jersey Ofce of the Attorney General
Division of Consumer Affairs
New Jersey State Board of Cosmetology and Hairstyling
124 Halsey Street, 6th Floor, P.O. Box 45003
Newark, New Jersey 07101
(973) 504-6400


Pursuant to N.J.A.C. 13:28-2.1 et. seq., the owner of a proposed new shop, a shop being relocated, or the new owner of an
existing shop must complete, notarize, and submit the attached application to the New Jersey State Board of Cosmetology and
Hairstyling along with a check or money order, payable to the State of New Jersey, for $350.00 in the rst year or $250.00 in
the second year of the current licensing cycle. If this is a Transfer of Ownership, the new owner may use the former owner’s
license for a maximum of two (2) months, with the previous owner’s permission.
To avoid any delays in the processing of your application, please read all instructions included within this packet prior to the
submission of your application to make sure you have provided the Board with all documentation and information required.
Please check with your local Post Ofce for the correct address of your facility. Failure to provide the required information may
result in the denial of your application or may halt the issuance of license. Please provide the Board with copies of the following:
1. A copy of your entire lease, whether new or renewed or the deed (the owner’s property title). If there is no lease,
a notarized letter signed by you and the landlord specifying terms and address of business.
2. A notarized bill of sale or a new shop owner’s notarized letter along with equipment receipts attesting that the shop
had been vacant and that there were no transactions between tenants. Please note that shop sublets, chair, and
booth rentals are prohibited.
a. Please note who the responsible party will be in the event of any outstanding violations. All outstanding
violations must be paid prior to a transfer of ownership.
3. Incorporation papers (for corporations), Limited Liability Company (LLC) papers stating every owner’s name and
their percentage of ownership.
a. All owners must sign and submit a copy of the notarized afdavit included within this packet.
b. Tax ID Form and the Registration of Alternate Name (Form C-150G) from the Department of Treasury,
Division of Revenue.
4. The notarized partnership agreement or a legal document that veries your business is a partnership, specifying
each partner’s full name and their percentage of ownership.
5. Ofcial registration of your trade/shop name, which may be obtained from the Hall of Records of your County
Clerk’s ofce, is required if your business is a partnership or sole proprietorship. Only for sole proprietorship or
partnership.
6. Final Certicate of Occupancy or Approval from the municipality where the shop is located along with:
a. Zoning certicate; and
b. Fire permit
c. If any of these documents are not required by your municipality, a Letter of Compliance from your City or
Town Hall will sufce.
7. The Experienced Practicing Licensee’s (Manager’s) signed wall license, with attached photograph, and a copy of
their government issued, photo identication card. Please note that every shop must employ an EPL, dened as a
licensee with a minimum of 3 years of licensed experience.
8. A oor plan drawn to scale marking stations, measurements and lavatory.
Mail your completed application to:
New Jersey State Board of Cosmetology and Hairstyling
P.O. Box 45003
Newark, NJ 07101
One week after you submit this application, contact the Board ofce at the number above to receive the date your shop will be
inspected. Any changes to the date of inspection must be approved by the Division of Consumer Affairs’ Enforcement Bureau.
Prior to inspection, you must have created a le for every worker that includes two (2) forms of identication, including one with
a recent photo. In addition, you must have a price list of all services offered in the salon, the wall licenses of all employees, a
sign indicating who the manager is, and the attached Notices must be posted in plain sight on a wall in the salon.

New Jersey Ofce of the Attorney General
Division of Consumer Affairs
New Jersey State Board of Cosmetology and Hairstyling
124 Halsey Street, 6th Floor, P.O. Box 45003
Newark, New Jersey 07101
(973) 504-6400
Application for a License to Operate a
New Shop, Relocate a Shop or to
Transfer Ownership of a Shop
Before completing this application, go to www.njconsumeraffairs.gov/cos/pages/regulations.aspx to review the New Jersey State Board
of Cosmetology and Hairstyling’s statutes and regulations.
A nonrefundable applicationling fee of $350.00 in the even year of the biennial period of licensure, or $250.00 in the odd year of
the current period of licensure, in the form of a certied check or money order made out to the State of New Jersey, must be submitted
with this application.
All questions must be answered.
1. Check ( ) form of ownership of the shop:
Individual or sole-ownership New Jersey corporation Out-of-state corporation Partnership L.L.C.
2. Shop name: ______________________________________________________________________________________________
3. Shop address: ____________________________________________________________________________________________
Street address City State ZIP code County
________________________________________________________________________________________________________
Shop telephone number (include area code) An owner/partner/ofcer’s home telephone no. (include area code) An owner/partner/ofcer’s cellphone no. (include area code)
4. Name and license number of Experienced Practicing Licensee (E.P.L.) who will manage the operation of the shop (N.J.S.A.
45:5B-11 et seq.)
Full name ________________________________________________License No. ____________________________________
(Please print clearly)
5. Please provide the information requested below for every owner, partner and/or ofcer of the corporation, limited liability
company or partnership. (The name of every owner, partner and/or ofcer must be provided whether or not a license is held
by any of them.) Attach additional sheets of paper to this application if necessary.
____________________________ ____________________ __________________________ _____________________
Name Type of license License No. State of jurisdiction that granted license
____________________________ ____________________ __________________________ _____________________
Name Type of license License No. State of jurisdiction that granted license
____________________________ ____________________ __________________________ _____________________
Name Type of license License No. State of jurisdiction that granted license
6. Is this a new shop? Yes No
a. Are you purchasing this business or otherwise acquiring it from a former owner? Yes No
Provide the shop’s former name and its address.
Name: _______________________________________________________________________________________________
Address: _____________________________________________________________________________________________
Street address City State ZIP code County
b. When will you acquire the business from its former owner? ________________________________
Month Day Year
Please indicate the type of shop:
Full service
Manicuring
Skin Care Specialty
Hair Braiding
Check one:
New shop
Relocation of a shop
Transfer of ownership
*Required fee: ___________
A certied check or money order
must accompany this application.
Do not send cash or a personal
check.
For Ofce Use Only
Application #: ____________
License #: ________________
Memo date: ______________
Inspection date: ___________
7. If the shop is owned by a corporation or L.L.C., please provide the name and address of the corporation or L.L.C.
Name: __________________________________________________________________________________________________
Address: _________________________________________________________________________________________________
Street address City State ZIP code County
8. Business Tax ID number: _______________________________________________
9. In what type of building area is the shop located? ______________________________________________________________
10. What is the total size of the shop in square feet? ___________
(Note: N.J.A.C. 13:28-2.5 requires that all licensed premises shall contain at least 350 square feet of oor space stations if there
are one or two licensed operators working at two stations. For every additional licensed operator/station, an additional 50 square
feet of oor space is required.)
11. Services in shop: _________________________________________________________________________________________
12. Proposed hours of operation: ___________________________________
13. When will the shop be ready for inspection? _______________________________
Month Day Year
14. What is the proposed date to open for business? _____________________________
Month Day Year
15. Please provide the name(s), shop license number and business address(es) of any other shop(s) owned by anyone listed as an
owner, partner or ofcer on this application.
________________________________________________________________________________________________________
Shop/Trade name Business address License number
________________________________________________________________________________________________________
Shop/Trade name Business address License number
________________________________________________________________________________________________________
Shop/Trade name Business address License number
16. Have you attached to this application all of the required documents and the required diagram/oor plan of the proposed shop?
Yes No
17. Signature(s) - If a partnership, all partners must sign. If a corporation or L.L.C., corporate ofcers must sign.
_______________________________________ _______________________________________ _____________________
Print name of owner, partner, ofcer Signature Date
_______________________________________ _______________________________________ _____________________
Print name of owner, partner, ofcer Signature Date
_______________________________________ _______________________________________ _____________________
Print name of owner, partner, ofcer Signature Date
_______________________________________ _______________________________________ _____________________
Print name of owner, partner, ofcer Signature Date
_______________________________________ _______________________________________ _____________________
Print name of owner, partner, ofcer Signature Date
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N.J.A.C. 13:28.2.5 requires that every cosmetology and hairstyling, beauty culture or barbering shop contain the following minimum
equipment:
i. One lavatory that includes a toilet, hand-washing facilities and a door;
ii. One shampoo basin with hot and cold running water and a reclining chair;
iii. For barbering shops only, at least one chair with an adjustable headrest suitable for performing shaving services;
iv. A designated area for cleaning and disinfecting implements and tools;
v. One ultrasonic unit for cleaning metal implements and tools;
vi. A clean, closed receptacle for storage of sanitized implements and tools at each work station;
vii. A closed container for clean linens;
viii. A closed container for soiled linens;
ix. Hair drying facilities;
x. A dispensary or place where supplies are prepared and dispensed;
xi. Permanent outside sign showing the trade name; and
xii. Such other equipment as is necessary to provide those services offered by the shop in a safe and sanitary manner.
N.J.A.C. 13:28-2.6 and 2.6A require that every manicuring shop and every skin-care specialty shop contain the following minimum
equipment:
i. One lavatory that includes a toilet, hand-washing facilities and a door;
ii. At least one sink in the work area with hot and cold running water;
iii. A designated area for cleaning and disinfecting implements and tools;
iv. One ultrasonic unit for cleaning metal implements and tools;
v. A clean, closed receptacle for storage of sanitized implements and tools at each work station;
vi. A closed container for clean linens;
vii. A closed container for soiled linens;
viii. A closed waste container for each work station;
ix. A dispensary or place where supplies are prepared and dispensed;
x. Permanent outside sign showing the trade name; and
xi. Such other equipment as is necessary to provide those services offered by the shop in a safe and sanitary manner.
All shops must have an experienced practicing licensee (E.P.L.) employed to oversee the management of the shop. Be
sure to enclose a diagram/oor plan of the proposed shop premises. Every application for a shop must be accompanied
by documentation that the premises have been approved by the local municipality for business use. A Certicate of
Occupancy, issued by the municipality’s Building Department, a zoning permit where required by the municipality, and
a Fire Permit, issued separately by the municipality’s Fire Department, are required to be submitted. Any application
submitted without these two documents (three where required) will be rejected. However, if municipal approval is
not required, you must submit a written statement from the municipality to that effect.
Please remember that it is unlawful to operate a shop without rst having obtained a license to do so.
Revised 4/19
Afx seal here
AffidAvit - 1
This afdavit must be completed, notarized and submitted by the
proposed shop’s Experienced Practicing Licensee (E.P.L.).
This afdavit is to be executed by the E.P.L. before a notary public:
State of: __________________________________________________
County of:________________________________________________
I, _______________________________________________________ , in making this application to the New Jersey State Board of
Cosmetology and Hairstyling for licensure or certication under the provisions of Title 45 of the General Statutes of New Jersey
and the Rules of the New Jersey State Board of Cosmetology and Hairstyling, swear (or afrm) that I am the applicant and that
all information provided in connection with this application is true to the best of my knowledge and belief. I understand that
any omissions, inaccuracies or failure to make full disclosures may be deemed sufcient to deny licensure or certication or to
withhold renewal of or suspend or revoke a license or certicate issued by the Board.
I further swear (or afrm) that I have read N.J.S.A. 45:5B-1 et seq., together with the Rules and Regulations of the New Jersey
State Board of Cosmetology and Hairstyling, N.J.A.C. 13:28-1.1 et seq., and fully understand that in receiving licensure or
certication from the Board, I bind myself to be governed by them.
Furthermore, I voluntarily consent to a thorough investigation of my present and past employment and other activities
for the purpose of verifying my qualications for licensure or certication. I further authorize all institutions, employers,
agencies and all governmental agencies and instrumentalities (local, state, federal or foreign) to release any information, les
or records requested by the Board.
_________________________________________________
Signature of E.P.L.
The E.P.L. must answer (a) and (b) below.
(a) Has any foreign or domestic government agency or professional association instituted charges or actions against you,
or revoked, suspended or accepted surrender of your professional license since your last renewal? Yes No
(b) Have you been arrested, charged, or convicted for the violation of any law or regulation since your last renewal? (Parking
or speeding violations need not be disclosed: motor vehicle offenses such as driving while impaired or intoxicated must
be disclosed). (Submit the relevant court documents with this application.) Yes No
_________________________________________________
Signature of E.P.L.
Sworn and subscribed to before me this _______
day of __________________________ , 20 _____
Month
_________________________________________
Name of Notary Public (please print)
_________________________________________
Signature of Notary Public
} ss.
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Revised 4/19
Afx seal here
AffidAvit - 2
This afdavit must be completed, notarized and submitted by every
owner, partner and/or ofcer listed on page one of this application.
(Include a copy of a government issued photo ID card.)
This afdavit is to be executed by every applicant before a notary public:
State of: __________________________________________________
County of:________________________________________________
I, _______________________________________________________ , in making this application to the New Jersey State Board of
Cosmetology and Hairstyling for licensure or certication under the provisions of Title 45 of the General Statutes of New Jersey
and the Rules of the New Jersey State Board of Cosmetology and Hairstyling, swear (or afrm) that I am the applicant and that
all information provided in connection with this application is true to the best of my knowledge and belief. I understand that
any omissions, inaccuracies or failure to make full disclosures may be deemed sufcient to deny licensure or certication or to
withhold renewal of or suspend or revoke a license or certicate issued by the Board.
I further swear (or afrm) that I have read N.J.S.A. 45:5B-1 et seq., together with the Rules and Regulations of the New Jersey
State Board of Cosmetology and Hairstyling, N.J.A.C. 13:28-1.1 et seq., and fully understand that in receiving licensure or
certication from the Board, I bind myself to be governed by them.
Furthermore, I voluntarily consent to a thorough investigation of my present and past employment and other activities
for the purpose of verifying my qualications for licensure or certication. I further authorize all institutions, employers,
agencies and all governmental agencies and instrumentalities (local, state, federal or foreign) to release any information, les
or records requested by the Board.
_________________________________________________
Signature of applicant
Name ______________________________________________________________________________________________
First name Last name Middle initial
Address _____________________________________________________________________________________________
Street address City State ZIP code
All owner’s must answer (a) and (b) below.
(a) Has any foreign or domestic government agency or professional association instituted charges or actions against you,
or revoked, suspended or accepted surrender of your professional license since your last renewal? Yes No
(b) Have you been arrested, charged, or convicted for the violation of any law or regulation since your last renewal? (Parking
or speeding violations need not be disclosed: motor vehicle offenses such as driving while impaired or intoxicated must
be disclosed). (Submit the relevant court documents with this application.) Yes No
_________________________________________________
Signature of applicant
Sworn and subscribed to before me this _______
day of __________________________ , 20 _____
Month
_________________________________________
Name of Notary Public (please print)
_________________________________________
Signature of Notary Public
This page may be photocopied.
} ss.
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
All licensed premises shall contain not less than 350 square feet of space and one lavatory within the shop. (See N.J.A.C.
13:28-2.5, 2.6 and 2.6A). Please submit a drawn to scale oor plan.

This shop and the operators herein are licensed to
engage in the practice of:




by the State of New Jersey’s
Division of Consumer Affairs.
Any member of the consuming public having a
complaint concerning the manner in which this
practice is conducted may notify the:
Division of Consumer AffAirs
new Jersey stAte BoArD of
Cosmetology AnD HAirstyling
P.o. Box 45003
n
ewArk, n.J. 07101
(Pursuant to N.J.A.C. 13:28-2.12)
to be posted in every shop
New Jersey Ofce of the Attorney General
Division of Consumer Affairs
New Jersey State Board of Cosmetology and Hairstyling
124 Halsey Street, 6th Floor, P.O. Box 45003
Newark, New Jersey 07101
(973) 504-6400




to be posted in every shop
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New Jersey Ofce of the Attorney General (State of New Jersey, Dept. of Law & Pub. Safety, Office of the Attorney General)

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Completed 14 August 2020

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