Oregon Application for Registration of Tanning Facility - public health oregon 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by selecting whether you are registering a New Facility, New Owner, or Equipment Change. This is crucial for processing your application correctly.
3. Fill in the Facility Name and Alternate Number, ensuring that your contact information, including Phone Number and Hours of Operation (M-F), is accurate.
4. Provide details about the Owner and Manager, including their names and email addresses. This information helps establish accountability.
5. Indicate your business structure (sole proprietorship, partnership, or incorporated) and provide necessary details such as the Date Incorporated and Registered Agent information if applicable.
6. Complete the Address Information section with your Street Address, Mailing Address, Billing Address, and Corporate Address as needed.
7. List Tanning Device Information including Manufacturer, Serial Number, Model, and Lamp Model. If more space is needed, attach additional sheets.
8. Document Training Information for all operators by providing their names, training dates, certificate numbers (if applicable), and who conducted the training.
9. Finally, certify that all provided information is true by signing and dating the form before submission.

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