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Health premises

Health businesses including hairdressers, beauty salons, tattooists, ear-piercing, colonic irrigation and any other business involving skin penetration activities must be registered with their local council in accordance with the Public Health and Wellbeing Act 2008 and the Public Health and Wellbeing Regulations 2019.

If you are opening, buying or selling a health premises, you will be required to complete one of our application forms and may be required to obtain a permit. Please see below for further information.

Application forms

Register/renew

Application for Registration/Renewal

Please complete the below pdf or online form to make an application to Council to register or renew a health premises.

Application for Registration/Renewal(PDF, 153KB)

In accordance with the Public Health and Wellbeing Act 2008:

Council specific information: Please use this form to apply to Moira Shire Council to register / renew a health premises. Please note this registration is not official until Council has approved.

Online Application to Register a Health Premises:

Applicant Details:

Is this proprietor a contact for this application? * (required)

Yes

Surname: * (required)

Given Names: * (required)

Address: * (required)

Postcode: * (required)

Postal Address (If different to above): * (required)

Phone/Mobile Number:

Email: * (required)

ABN:

Contact details for this application:

Surname:

Given Names:

Address:

Postcode:

Postal Address (If different to the above):

Phone/Mobile number:

Email:

Premises Details:

Trading Name:

Street Address:

Suburb/Town:

State:

Postcode:

Health Premises Details:

Please choose the business activity that your business conducts* Please select all those that apply * (required)

Hairdressing

Hair removal by electrolysis or wax

Tattooing (includes permanent and semi-permanent make up or cosmetic tattooing

Manicures, pedicures, other nail treatments

Facial or body treatments

Colonic irrigation

Foot spa treatments

Ear piercing

Body piercing or other skin penetration procedures

Other (specify)

Supporting Documents: Additional information as requested by Council only (1) copy.

If you have discussed this application with Council prior to delivering the application to Council, Council may request additional information based upon the nature of the application.

Fees: Health Registration New – Beauty Premises/Skin Penetration Fee: $221.00 & Health Registration New – Hairdressing/Temporary Make Up Only Fee: $216.00 (one off payment)

Declaration: * (required)

The information provided in this application is true and complete to the best of my knowledge.

This application is a legal document and penalties exist for providing false or misleading information.

I am over 18 years at the time of completing this application.

Name of person completing this application: * (required)

Date: * (required)Date: * (required)

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Collection Statement:

Your application and the personal information on this form is being collected by Moira Shire Council for the purposes of administrating your application to Register a Health Premises.

The information collected is required under the Public Health and Wellbeing Act 2008 and will be used for the purpose it was collected and/or a directly related purpose. If you do not provide the information in your application it may result in the application not being accepted, lapsing or being refused. Information collected may be disclosed if required by legislation.

You must not submit any personal information or copyright material of third parties without their informed consent. By submitting the material, you agree that the use of the material as detailed above does not breach any third party’s right to privacy and copyright. You can find out more about how we use and protect your information by viewing our Privacy Statement on our website www.moira.vic.gov.au. If you require access to the information you have provided, please contact Council.

Transfer

Use the below form to make an application to transfer a health premises.

Application for Transfer(PDF, 135KB)

Permits

Permits may also be required from our Planning and Building Department's, depending on the type of business and changes you might be making. It is the applicants responsibility to ensure all appropriate permits have been sought.

Fees

All health premises fees are available upon application. Transfer of fees are 50% of the annual registration fee.

Pre-purchase inspections are charged at 50% of the annual registration fee. For more information please contact Council.