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Virginia Administrative Code
Title 18. Professional And Occupational Licensing
Agency 41. Board For Barbers And Cosmetology
Chapter 70. Esthetics Regulations
11/1/2025

FORMS (18VAC41-70).

Esthetician – Esthetics Instructor Examination and License Application, A450-1261_62EXLIC-v17 (eff. 5/2022)

Master Esthetician – Master Esthetics Instructor Examination and License Application, A450-1264_65EXLIC-v18 (eff. 5/2022)

Temporary License Application, A450-1213TEMP-vs4 (eff. 8/2024)

License by Endorsement Application, A450-1213END-v20 (rev. 8/2025)

Training Verification Form, A450-1213TR-vs1 (eff. 5/2022)

Individuals – Reinstatement Application, A450-1213REI-v16 (rev. 8/2025)

Salon, Shop, Spa, and Parlor License and Reinstatement Application, A450-1213BUS-v19 (rev. 8/2025)

Salon, Shop, and Spa Self-Inspection Form, A450-1213_SSS_INSP-vs2 (eff. 5/2016)

Instructor Certification Application, A450-1213INST-v21 (rev. 8/2025)

School License Application, A450-1213SCHL-v23 (rev. 8/2025)

School Reinstatement Application A450-1213SCHL-REIN-v12 (rev. 8/2025)

School Self-Inspection Form, A450-1213SCH_INSP-vs5 (eff. 1/2022)

Licensure Fee Notice, A450-1213FEE-v13 (rev. 8/2025)

Change of Responsible Management, A450-1213CRM-v6 (eff. 12/2021)

Experience Verification Form, A450-1261_64EXP-v2 (eff. 2/2023)

Esthetics-Master Esthetics Universal License Application, A450-1261-65ULR-v3 (rev. 8/2025)

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