Skin Piercing Premises Licence Application Form

Before continuing your application, please note that you will be required to make a payment. Details of which can be found under our Environmental Health Fees and Charges page or the Skin Licencing main page.

Please provide your contact number in your application. If you wish to pay by debit or credit card over the phone, we will contact you to confirm fees and arrange payment.

If you are paying by cheque, please make it payable to East Hertfordshire District Council and send your cheque to:
East Herts Council
Wallfields
Pegs Lane
Hertford
SG13 8EQ

Your application will not be processed until we have received payment.

Contact Details

Name
Your Address
Address of premises

Further Details

Please tell us the types of skin piercing that will be carried out on the premises

Declaration

I hereby apply under section 15 of the Local Government (Miscellaneous Provisions) Act 1982 (as amended), to register the said premises to carry on the business of skin piercing, the details of which are given in the particulars above

I certify that the particulars set out above and overleaf are correct and I understand that knowingly or recklessly making a false statement may mean that I may be liable to prosecution.

For the purposes of current data protection laws the information you supply the Council as part of your application will be used for the purposes of dealing with your request and retained as per our published corporate data protection privacy policy which can be found on the East Herts District Council Data Protection page (this link opens in a new window).

From time to time this information may be shared with other Council departments and / or outside partners to process your request as effectively as possible. Please confirm you have read the above privacy notice