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Click ‘Get Form’ to open the Body Art Experience Verification Form in the editor.
Begin by filling out the Applicant Information section. Enter your Name, Date of Birth, Home Address, City, State ZIP Code, Phone Number, and E-Mail Address. Ensure all information is accurate to avoid any issues with your body art card application.
In the Signature field, sign and date the form to confirm that you understand the implications of providing false information.
Next, if applicable, have your Previous or Current Employer complete their section. They should provide details about your Body Art Type, Dates of Employment (Month/Year), and any comments regarding your experience.
The employer must also include their Facility Name and Address. They will need to print their name and title before signing and dating the form.
If a Licensing Agency is involved, ensure they fill out their section accurately with Body Art Type, Identification Number, Date Issued, and Date Expired. The agency representative must sign and date this section as well.
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Apr 7, 2026 All existing artists must obtain and display a DPH Body Artist Certification on or before October 6, 2024. State Certified Body Artists (PDF,Read more
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