Fla. Admin. Code Ann. R. 64E-19.003 - Forms

(1) All forms listed in this section are incorporated by reference. Forms used by the public may be obtained from the county health department in the county of their location or the Department of Health, 4052 Bald Cypress Way, BIN A08, Tallahassee, Florida 32399-1710.
(a) DH Form 4124, 11/02, Body Piercing Salon Inspection Report.
(b) DH Form 4122, 9/02, Body Piercing Salon Injury Report.
(c) DH Form 4121, 11/02, Body Piercing Salon Citation of Violation.
(d) DH Form 4123, 10/99 Body Piercing Salon Stop Use Order.
(2) Upon receipt of a properly completed DH Form 4120, 10/99, Application for a Body Piercing Salon License, the department shall process the application in accordance with the provisions of Chapter 120.60, F.S., and agency procedures.

Notes

Fla. Admin. Code Ann. R. 64E-19.003

Rulemaking Authority 381.0075(10) FS. Law Implemented 381.0075(5)(b), (9), (10) FS.
New 1-24-00, Amended 1-28-03.

New 1-24-00, Amended 1-28-03.

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