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Arkansas Department of Health
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Home > Programs & Services > Health Systems Licensing & Regulation > Cosmetology

 Forms 

All documents are in PDF format unless otherwise noted.

Downloads and Information
Application For Practitioner Examination Form
Change of Address
New Establishment Form
Establishment Relocation Form
Establishment Change of Owner/Name Form
Certification of Record
Lapsed License Form
Request for Clock Hours Form (IN STATE ONLY)
School Change of Status Form
Certification of Training
Student Permit Form
New School Application Packet
Request for Demonstrator Permit
School Relocation Form
Lifetime License Form
Certification of Training – Graduated
Personal Survey Form


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Recovery.gov   Recovery.Arkansas.Gov

American Recovery and
Reinvestment Act of 2009

Arkansas Department of Health

4815 West Markham Street

Little Rock, Arkansas 72205

1-501-661-2000 or 1-800-462-0599

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