Northeast District Department of Health

69 South Main Street, Unit 4, Brooklyn, CT 06234
Phone: (860) 774-7350 / Fax (860) 774-1308 / www.nddh.org

To: Independent Contractor -Cosmetology/Barbershops/Nail Salons From: Northeast District Department of Health
Date: November 8, 2022 Subject: 2023 Annual Permit

Fee: $110.00

The registration issued to your establishment by the Northeast District Department of Health (NDDH) will expire on December 31st and must be updated on a yearly basis. We are eager to assist you in complying with the State of Connecticut public health regulations.

Please return the following to this office by close of business Thursday, December 15, 2022:

A completed Independent Contractor Service Application. You may access the application forms and can make payment online at www.nddh.org/formspermits. If you do not have computer access, you may pick up the forms and pay the application fee at our office at 69 South Main Street, Brooklyn, during regular business hours (Monday-Thursday, 8am – 4pm, Fridays, 8am – noon).
The appropriate fee paid online at https://www.nddh.org/pay-online/, brought to our office, or mailed with your application to 69 South Main Street, Unit 4, Brooklyn, CT 06234. The fee schedule, effective 7/1/22, can be found online at:
https://www.nddh.org/wp-ontent/uploads/2022/07/NDDH_Service_Fees_effective_070122.pdf/.

Upon receipt of all necessary documentation, a permit will be issued for your establishment which will be valid from January 1st through December 31, 2023. Please be sure to provide us with a valid e-mail address, as we will be sending permits electronically. Also be sure to complete and return the Emergency Contact Information Form.

All necessary documentation and permit fees must be received by close of business on Thursday, December 15, 2022, or the establishment will be charged a late fee of $90. In addition, a penalty fee of $12 per NDDH business day with a maximum of $120 shall be assessed for each business day late from January 1 through January 13, 2023, inclusive.

Annual inspections will be conducted throughout the year. A re-inspection fee of $120 will be charged for a failed inspection.

If you have any questions, please feel free to contact us. As always, we look forward to working with you.
Sincerely,

The Northeast District Department of Health

Sanitarian Approved Initial:	 Date: 	

Emailed:	

Northeast District Department of Health
69 South Main Street, Unit 4
Brooklyn, CT 06234
Phone - (860) 774-7350 / Fax - (860) 774-1308
www.nddh.org	email@nddh.org

SERVICE APPLICATION - INDEPENDENT CONTRACTOR

 COSMETOLOGY   BARBER    NAIL SALON   OTHER:

Independent Contractor Name: 					 Mailing Address (not salon address): 						  Town: 	State:		Zip Code: 			 Telephone #: 		Billing Email: 			 Number of Workstations/Chairs: 			Business Hours: 			
Department of Public Health License type: 	 License #:	
Expiration Date: 	

Independent Contractor must fill out this section of the application.

Establishment Name:	 Legal Owner of Business:	 Establishment Physical Address: 			

Town: 	

State:	

Zip Code: 	

Mailing Address (if different from physical address:

Business Telephone #: 	Fax #: 	

Establishment Requirements Only

Sewage Disposal:	Public	Private	Date Last Pumped: 	

Water Supply:	Public	Private	Date Last Tested: 	

Independent Contractor’s Signature: 		Date: 	

NDDH Use Only
Date: 	Fee: 	Check # 	 CC E-Check	Cash	Receipt #	 Date: 	Fee: 	Check # 	 CC  E-Check	Cash	Receipt #	

Rev. 111121

Northeast District Department of Health

69 South Main Street, Unit 4, Brooklyn, CT 06234
860-774-7350 / Fax 860-774-1308	www.nddh.org

***EMERGENCY CONTACT INFORMATION***
Water Interruption • Power Outage • Fire • Flood • Contamination • Natural and Man-made Disasters
There are a number of emergencies that can interrupt your establishment. To protect the public, the Northeast District Department of Health (NDDH) must be able to quickly contact decision-makers for your business/organization to provide appropriate guidance. Check our website for regular updates that impact your establishment at https://www.nddh.org.
NDDH will conduct periodic tests of our Emergency Notification Systems. You may receive messages by phone, text, fax, or email. Please complete the information below, being sure to fill all fields accurately:
Today’s Date: 	

Business/Org Name: 	 Business Address: 	

City: 	

State: 	

Zip: 	

Emergency Contact Name and Title: 		 Cell Phone: 	Fax Number: 		 Work Phone: 	 Home Phone: 		  Email Address: 				

Alternate Emergency Contact Name and Title: 		 Cell Phone: 	Fax Number: 	 Work Phone: 	 Home Phone: 	  Email Address: 				
Is water for your business establishment/organization supplied by:
	Well		Community Water System

NDDH USE ONLY:

Updated - EHS Database: 	 Excel Data Sheet:		Initials: 	

Businesses with multiple locations: Please complete a separate form for each location.

REVISED 11/15/21

The Northeast District Department of Health

69 South Main Street, Unit 4, Brooklyn, CT 06234
860-774-7350 / Fax 860-774-1308	www.nddh.org

To:	Salon/Spa, Barbershop, and Nail Salon Owners From: The Northeast District Department of Health Date:	November 8, 2022

Subject: Nail Technician

Many of you are aware of the Public Act 19-117, Sections 196 mandates the local health department to conduct an annual sanitary inspection of your business operations. As part of our efforts to comply with the state statutes, NDDH is providing informational resources for owners.

The purpose of this notification is to update you of permit changes required for all owners and operators regarding Nail Technician licensing requirements that are in effect. All information can be found online. (Links provided throughout memorandum).

State of Connecticut Provision of Public Act 19-117 https://www.cga.ct.gov/2019/act/pa/pdf/2019PA-00117-R00HB-07424-PA.pdf

Department of Public Health Statute 19a-17 https://www.cga.ct.gov/2020/sup/chap_368a.htm#sec_19a-17

No person may practice as a Nail Technician in Connecticut after January 1, 2021, without holding a license issued by the Department of Public Health.

https://portal.ct.gov/DPH/Practitioner-Licensing--Investigations/Nailtechs/Nail-Technician

The Northeast District Department of Health will only permit businesses, including nails salons, that comply with all state and local laws. Please be sure to complete licensing requirements to avoid loss of or non-renewal of permits.

License Based on an Out-of-State License
The Department may grant a license to any applicant who is licensed as a nail technician in another
U.S. state, the District of Columbia or a commonwealth or territory, subject to the laws of the United States. Before applying for licensure, please familiarize yourself with the general licensing policies.

Be sure to provide NDDH with a copy of all licensing individuals with your permit application and display licenses in public view per regulations.

State of Connecticut's eLicense Website	https://www.elicense.ct.gov/ State of Connecticut requires all registration to be online.

Steps to Apply for CT Nail Technician, Esthetician, Eyelash Tech License

All applicants MUST register if this is a first-time application.

You can find the eLicense registration link under INITIAL APPLICATION
Select “Register” link
Next click on Initial Application
Register new account
Account Matching
Verify Email Address

APPLICATION FOR A NEW LICENSE, PERMIT OR REGISTRATION: Online
applications are for new applicants ONLY. If you are seeking to reinstate or renew, please contact the appropriate agency below for further information.
To apply for a new license, permit or registration online, please follow the instructions below:
From "Online Services", select ”INITIAL APPLICATION” under "Activities" to begin.
Select the appropriate application and follow instructions. Please note, not all application types are available to be completed online. Note: All applications must be reviewed and approved by the appropriate agency.
Under Appearance Enhancement Tab
Click on: Esthetician, Eyelash Technician, Nail Technician, or Combination Nail Technician, Esthetician or Eyelash Tech
Start Application Process Website Help Link:
https://portal.ct.gov/-/media/DCP/pdf/Applications_Added_2017/Online-User-Id-Instructions-Oct17-2- pdf.pdf?la=en

ONLINE RENEWAL: To renew your license, permit or registration online,
select ”RENEWAL” under "Online Services."
Follow step-by-step renewal instruction

User Id and Password Instructions Fast Track Renewal Instructions

License Look up	https://www.elicense.ct.gov/Lookup/LicenseLookup.aspx