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Occupations, Office of LicensingâBarber/Cosmetology, 1560 Broadway, Suite 1350, Denver, CO 80202. PART 2âTo be compl
practice as a Barber in Washington, D.C. We request that you verify the
registration, ... written and practical examinations administered in the English
language.
GOVERNMENT OF THE DISTRICT OF COLUMBIA OCCUPATIONAL AND PROFESSIONAL LICENSING ADMINISTRATION BOARD OF BARBER
VERIFICATION OF LICENSURE
Applicant’s Name
Social Security Number
Address
/ Date of Birth
/
The applicant identified above claims to be the holder of a license in your State and has applied for a license to practice as a Barber in Washington, D.C. We request that you verify the registration, provide the following information, and return the form to Pearson VUE on behalf of the District of Columbia Board of Barber. Full Name of State Board: Type of License Issued:
Date Issued:
Applicant is currently registered and in good standing: Yes [
] No [
]
/ / License Expiration Date
Registration Number Certificate or license issued by: Reciprocity [
]
Examination [
]
Other [
]
If the applicant was licensed as a MANAGER by examination, please state the basis of qualification:
Did the applicant pass comprehensive written and practical examinations administered in the English language without the aid or assistance of interpreters or any other translating means? Yes [ ] No [ ] If No, please explain:
Name of School
Location
Period of Attendance
Total Hours
I HEREBY CERTIFY that the above is a correct and true statement of the training and licensure of the above named individual as filed in this office.
Signature of Authorized Official
Print Name and Title
(SEAL)
/
/
Date Return the completed form to:
Pearson VUE Dept. DC-Barber Metro-Plex I, Suite 250 8401 Corporate Drive Landover, MD 20785 Pearson VUE #6609-16 Revised 04/10
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