Nevada State Board of Cosmetology
License/Hour Certification Request
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Please select the type of certification you are requesting. *


 
What is your SSN? *

SSN= Social Security Number
 
What is your License #? *

For example, C-XXXXX or A-XXXXX.
 
What is your name? *

 
What is your mailing address? *

 
Would you like for us to send the certification to another email?

     
 
License/Hour Certification Fee: {{var_price}} *

 
Please enter your Credit or Debit Card number: *

 
The CVC number: *

(3 or 4 digit security number on the back of your card)
 
The name on your card: *

 
Your card's expiry month: *


 
Your card's expiry year: *


Thank you.  We are preparing your request.
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