- Devonport City Council - https://www.devonport.tas.gov.au -

Public Health Risk Activity (Premises) Application Form

Posted By Scott Newman On August 30, 2019 @ 5:29 pm In Businesses & Residents,Business Forms,Forms and Payments | Comments Disabled

Step 1 of 4

Public Health Act 1997 Part 5, Division 3 & 4
Select Application Type*
- Application for Health Risk Activity Registration
- Application for Health Risk Activity Registration Renewal
Applicants Details
Name of Applicant*
First Last
Address*
Street Address City Post Code
Telephone*
Mobile
Date of Birth*
DD slash MM slash YYYY
Email*

Premises Details
Trade Name of Premises*
Address*
Street Address City Post Code
Do you want to receive your correspondence to a different address.*
- Yes
- No
Address*
Street Address City Post Code
Telephone*
Mobile Phone*
ABN*
Public Health Risk Activity Details
Please tick the applicable Public Health Risk Activities to be carried out on the premises*
- Body Piercing
- Ear Piercing
- Tattooing
- Semi-Permanent - Permanent Makeup
- Acupuncture

Agreement
I*
First Last
agree that the information i have provided is truthful and accurate.
Date*
DD slash MM slash YYYY
Consent*
I agree to the privacy policy of the Devonport City Council.
Click Here to view our Privacy Policy ^[1]
Consent*
I consent to receiving communications about this application in electronic form

Renewal
Please be advised you must also pay the invoice to have a valid application. Invoices have been emailed out to the Public Health Risk applicant.

Payment Options:

	Pay Online: Payments can be made online using BOINT at https://www.bpoint.com.au/payments/devonportcit/?BillerCode=1203066. ^[2]
	Pay by Post: Cheques or money orders should be made payable to Devonport City Council and posted to PO Box 604, Devonport, Tasmania, 7310.
	Pay in Person at Service Tasmania: Present your invoice to any Service Tasmania Centre, together with your payment. See www.service.tas.gov.au ^[3] for opening hours.

On submission of this form you will be redirected to the Skin Penetration page where you can select Pay Now.