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Tattoo Shop App
tATTOO SHOP/aRTIST aPPLICATION
Name
Location Address
Main Contact Phone Number
Email
Website
Type of Entity
Current Carrier
Current Expiration Date
Current Yearly/Monthly Premium
Locations Address, City, State, Zipcode
Have there been any gaps in coverage in the last 3 years?
Yes
No
Have there been any losses in the last 3 years?
Yes
No
Services Provided
Tattooing
Piercing
Cosmetic Tattoos
Saline Removal
Revenue from Services Provided
Personnel: #of Tattoo Artists # of Piercers # of Cosmetic Tattooers
Schuduled Artists: Full Name, Length of Employement: Years of Experience
Is there a weapon kept on the premises?
Yes
No
Are all artists required to maintain the relevant licenses and/or certifications?
Yes
No
Are all artists required to maintain the relevant licenses and/or certifications?
Yes
No
Do you have blood-borne pathogen training?
Yes
No
Do you have written sterilization, sanitation, and safety standards?
Yes
No
Are new disposable needles/supplies used for each new client?
Yes
No
Do you verify the age of clients prior to providing services?
Yes
No
Do you require waivers from your clients prior to providing services?
Yes
No
Do you provide written instructions for care/maintenance to all clients?
Yes
No
Are pre-employment background checks performed on all employees?
Yes
No
Do you Tattoo Minors with parental consent?
Yes
No
If yes, do you follow all rules and regulations around tattooing minors?
Yes
No
Do you tattoo eyeballs or other sensitive areas?
Yes
No
Do you have rules or guidelines related to services provided to intoxicated persons?
Yes
No
Do you perform body piercing?
Yes
No
Do you pierce Minors with parental consent?
Yes
No
Please indicate what body parts are preformed on:
Do you have anyother operations beside tattoos and body piercing?
Is the building owned or leased?
Fire Sprinklers?
Fire Alarm?
Video Cameras
Central Station burglar alarm?
Do you accept that all information provided be used to generate a quote for your Tattoo Business?
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