License New and Renewals (Non-Expired) as of 2014

Name and Address Information
 
Required Field example: John Smith
example: March 13, 2011
Required Field
Required Field
Required Field
Contact Information
 
Required Field example: 555-555-5555
Convictions

Have you been convicted of a felony within the past 12 months?

 
 
Convictions Other Than Felony

Have you been convicted of any other offense(s) other than a traffic violation within the past 12 months?


NOTE:
If you answered yes to either of these questions, forward a certified copy of all court documents outlining charges, convictions, sentencing and discharge to the Board office.  Registration is not complete and your license will not be issued until the Board office receives all documentation.

 
 
Kansas Barber License Maintenance

Please select each of the statements that applies to you.  If you select one or both of these statements, you will not be required to complete the shop information in the next section.

 
 
Employment Status

Regarding your shop employment, please mark one of the following categories:

 
 
 
Shop Information
 
License Numbers and Expiration Dates

Please complete the sections that apply to you.

example: March 13 2011
example: March 13 2011
example: March 13 2011
Barber and Shop License
 
 
 
 
 
 
Payment Information
Payment Information
Required Field required