Application for a licence to carry out acupuncture, tattooing, piercing and/or electrolysis from Telford & Wrekin Council

Step 2 of 4 Submit the application

Email address

Please provide your email address, so the licensing authority can let you know if your application has been successful or not.

Email address Confirm email address

Application form

Please attach the completed application form below.

Application form

Supporting documents

All documents are required, unless stated otherwise. Photos of documents are acceptable, as long as all the relevant information is clear. We'll only share these documents with the licensing authority.

Maximum size allowed per file is 10 MB.

We only allow the following file types : doc, docx, gif, jpeg, jpg, pdf, png, ppt, pptx, rtf, txt, xls, xlsx

What if I can't submit the documents digitally?

If you can't submit the documents digitally you can send copies by post instead. We'll give you the address and reference number to quote once you've paid the licence fee.

OK, I'll submit all the documents by post instead

Plan of premises
A plan of the business showing in particular the treatment room, the position of gas points and electrical outlet sockets, and the washing facilities and sanitary accommodation for operations.

Clinical waste contract
Copy of clinical waste contract

Photographs
Two passport photographs of the applicant and/or two passport photographs of any apprentices being trained and other operators.

Declaration

In making this application I agree to observe all the conditions attached to the Certificate of Registration. I am aware that any false information knowingly given may invalidate this application and could mean the cancellation of any subsequent Certificate of Registration.

Ticking this box indicates you have read and understood the above declaration

By continuing, you're giving the Cabinet Office permission to pass the information you're supplying to the relevant authority.

For more details on how your information is used please refer to the Government Digital Service privacy notice (opens in new tab) and the Telford & Wrekin Council privacy notice (opens in new tab).