Online Form - Application for Hairdressing Establishment

Premises Details

Name of Business *

Address of Business

Phone Number *

Email Address *

Hours of Operation

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Type of premises

Please indicate the type of premises you intend to operate *

Proprietor Details

Name *

Address *

Phone Number *

Email Address *

Please attached copies of your relevant qualifications *

Maximum size of ALL attachments is 976.56 MB

Food / drink to be prepared on premises? *

YesNo

If yes to the above, please submit a Food Act 2008 Notification / Registration Form

Maximum size of ALL attachments is 976.56 MB

How will you undertake equipment sanitisation? *

How will you undertake laundering towels and linen? *

How will you clean and maintain the premises? *

Site Plan

Please upload a site plan of the proposed layout of the establishment *

Maximum size of ALL attachments is 976.56 MB

Declaration

I/We declare that all details in this form are true and correct. Please be advised providing false information may be an offense.

An assessment fee of $95 is applicable to this application.

Name of Applicant *

Contact Number *

Signature of Applicant *

Date *

I understand that I must submit a detailed site plan of the proposed premises including the following:

o Procedure area
o Hand washing facilities
o Work stations and preparation area
o Preparation area for refreshments
o Instruments and equipment storage area
o General waste and medical waste receptacles
o Laundry facilities
o Natural or mechanical ventilation

Please upload a site plan of the proposed layout of the establishment *

Maximum size of ALL attachments is 976.56 MB