Registration of a Health Premises (Skin Penetration, Beauty, Hairdressing and Barbers) Application Form

Registration of a Health Premises (Skin Penetration, Beauty, Hairdressing and Barbers) Application Form

The Public Health Act 2010 (the Act) defines a skin penetration procedure as:
Any procedure (whether medical or not) that involves skin penetration (such as acupuncture, tattooing, ear piercing or hair removal or the penetration of a mucous membrane), and includes any procedure declared by the regulations to be a skin penetration procedure.

These procedures can include:
tattooing
manicures and pedicures
cosmetic tattooing
waxing
piercing
microdermabrasion
colonic lavage
and any other procedure that involves penetration of the skin.

Please refer to the factsheets on the NSW Health website for more information.

Hairdressing and other body decorating and grooming practices which do not deliberately pierce the skin are regulated by local councils under the Local Government Act 1993 and associated legislation. These premises must also be registered with Council.

Approval from Council may also be required for any of the following reasons:
Starting a new business
Carrying out construction works or modifications in an existing premises
Fitting out a new premises
Operating a mobile or home business

Please visit Council's Beauty Hairdressing and Tattoo Businesses webpage for more information.
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Applicant Name
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Street  Address of Business
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Residential Address
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Postal Address
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Mobile Phone Number
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Contact Phone Number
Email Address
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Business  / Trading Name
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Entity that operates the business
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ABN
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Type of business
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Please select any of the following options that demonstrate how you operate your business
fixed shop front business
home based business
mobile business
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Applicant declaration
I apply for approval to undertake the activity described in this application and declare that all the information in the application is, to the best of my knowledge, complete and accurate.

I acknowledge that if the information provided is misleading any approval granted ‘may be void’ and accept that Council cannot be held liable for delays in processing arising out of inadequacies in the material submitted in support of this application.

I understand that approval of this application is not guaranteed.

I acknowledge that I am responsible for advising Council of any business changes including, but not limited to contact details or mailing address.

I acknowledge and understand that it is my responsibility to advise Council (in writing) if at any time I cease business operations.

I acknowledge that the premises and operation of the business must be in compliance with the Public Health Act 2010 and Local Government Act 1993 and associated legislation.
I agree with the above declaration
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Privacy Protection Notice
The completed application form contains personal information that is being collected for the purpose of assessing this application. The information will be processed by the Planning and Environmental Health Division of Ballina Shire Council and may be made available to public enquiries under the Government Information (Public Access) Act. The information will be stored in Council’s electronic document management system. For further information please visit ballina.nsw.gov.au/your-privacy.