Licensing General Enquiry Form

If you have an enquiry about any of the following licenses:
- Acupuncture
- Tattooing
- Semi-permanent skin colouring (for example, micro-blading)
- Cosmetic piercing (includes ear piercing and body piercing)
- Electrolysis
Please visit our Skin Piercing page, as it is our Environmental Health department that issues these licences.
Fields marked with * are required
details
1. Name:*
2. Does the person this enquiry relates to have an email?*
  
  Yes
  
  No
3. Contact Email:
4. Contact telephone number:*
5. Please provide details of your query:*
6. Document uploads
  1. Please upload any documents you think are relevant to your query
  2. Document type
    For example: Birth certificate, driving licence, motor insurance
  3. Upload document
    
    Permitted file types: JPEG, PNG, PDF. Maximum file size: 5MB
7. Document uploads
  2. Please upload any documents you think are relevant to your query
  3. Document type
    For example: Birth certificate, driving licence, motor insurance
  4. Upload document
    
    Permitted file types: JPEG, PNG, PDF. Maximum file size: 5MB
8. Licence number (if applicable)
9. Page you were on
Privacy statement

Breckland Council is collecting this information, via this form, in order to perform this service or function, and if further information is needed in order to do so, you may be contacted using the details provided.

In performing this service, the Council may share your information with other organisations or departments, but only when it is satisfied that it is necessary to perform a public task, or to exercise its statutory duties to do so.

The Council may also share your personal information for the purposes of the prevention, investigation, detection, or prosecution of criminal offences, but will not share your personal information, or use it for any other purpose, unless provided for by law.

More detailed information about the Council's handling of your personal data can be found in our privacy policy.
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Licensing General Enquiry Form

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Licensing General Enquiry Form

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