Notice of Intent to Operate a Remote Service Business
Submit
Fill out this form if you do not hold a Barber or Cosmetologist license.
Remote Service Business Name and Start Date of Service
Business name
*
Date the business will begin offering digitally prearranged remote services
Begin date
*
Contact Information
Select services provided
*
Barbering
Cosmetology
Both
Barbering
Cosmetology
Both
Street address
*
City
*
Zip code
*
Phone number
*
Email address
*
Name of Digital Network Company
Digital company name
*
Street address
*
City
*
Zip code
*
Business entity type
*
Sole Proprietorship
General Partnership
Corporation
Limited Liability Corporation
Limited Liability Partnership
Limited Partnership
Other
Sole Proprietorship
General Partnership
Corporation
Limited Liability Corporation
Limited Liability Partnership
Limited Partnership
Other
Other information such as the name of other owner(s), contact information for other owner(s), etc.
By submitting this web form, I certify that I will comply with the requirements of Texas Occupations Code, Chapters 1601, 1602, and 1603, 16 Texas Administrative Code, Chapters 82 and 83, and all health and safety requirements related to my licensed occupation or profession. I further certify that all information I have provided is true and correct. I understand that providing false information may result in revocation of my license.
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