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Tattoo Application

  1. Tattoo Artist Information
  2. Tattoo Establishment Information
  3. Upload drawing of Tattoo booth
  4. Electronic Signature Agreement*
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  5. Instructions
  6. Purpose
    To allow tattoo artists to apply for tattooing permits as required in General Statutes 130A-283 and 15A NCAC 18A .3202. A separate application must be completed for each permit.
  7. Preparation
    Each tattoo artist must complete and sign a separate application for each location where he or she will engage in tattooing within the State of North Carolina. The completed application must include the full name, mailing address, and signature of the tattoo artist, the name and street of the tattoo establishment, and the anticipated date of commencing operation.
  8. Submission
    The completed application must be submitted to the local health department in the county where the tattoo establishment is located at least 30 days before commencement of operation. The local health department may require payment of fees or additional information upon submission of the application.
  9. Disposition
    This form may be destroyed in accordance with Standard 8.B.6, of the "Records Disposition Schedule" published by the North Carolina Division of Archives and History. Additional forms may be ordered from: Environmental Health Section, 1632 Mail Service Center, Raleigh, NC 27699-1632 (Courier 52-01-00).
  10. Leave This Blank:

  11. This field is not part of the form submission.