ESTHETICIAN OUT OF STATE/OUT OF COUNTRY APPLICATION FOR EXAMINATION AND INITIAL LICENSE FEE - Expedited eligibility and background/qualification sections

Sep 13, 2026

Uploaded by Liam

Esthetician out-of-state and out-of-country applicants use this form to request examination eligibility and an initial license fee, including options for expedited processing. The application collects applicant identity and contact details, Social Security/ITIN, date of birth, education confirmation, and language preference under Business and Profession Code 7314. Sections B–D gather background disclosures, any prior convictions or disciplinary actions, existing California licenses, immigration status documentation, and military-related support, plus the qualification pathway through experience, education, or school/training records.

LanguageEnglish

CategoryForms

FormatPDF

Pages5

Reading Time2 min

AccessFree to download

SECTION A: APPLICANT INFORMATION

Cashiering and expedited criteria (use only)

Basic applicant details

SECTION B: BACKGROUND INFORMATION

Criminal convictions/pleas

Professional license discipline

California board licenses

Immigration status

Military service or spouse/domestic partner

SECTION C: QUALIFICATIONS

Experience-based qualifications

Education-based qualifications

Education without prior licensure

Military training qualifications

SECTION D: EXAM INFORMATION

Exam language preference

(1015-1004) ESTHETICIAN OUT OF STATE/ OUT OF COUNTRY APPLICATION FOR EXAMINATION AND INITIAL LICENSE FEE $115.00 Fee (non-refundable) Licensing Program P.O. Box 944226 Sacramento, CA 94244-2260 Phone: (800) 952-5210 Email: [barbercosmo@dca.ca.gov](barbercosmo@dca.ca.gov)[ ](barbercosmo@dca.ca.gov)[www.barbercosmo.ca.gov](www.barbercosmo.ca.gov) | Cashiering (1015) Use Only: | Entity \# | | | Receipt \# | | | Amount $ | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | | I qualify for expedited application processing based on one of the below criteria:
Satisfactory evidence must be provided with your application. See Section B for more information. Honorably Discharged Veteran of the United States Armed Forces or National Guard Admitted to the United States as a Refugee, Granted Asylum, or Have a Special Immigrant Visa
Status | | | | | | | | | | Social Security or Individual Taxpayer Identification Number
- - | | | | | | | | | | Date of Birth (MM/DD/YY) Must be at least 17 years old
- - | | | | | | | | | | Last Name | | First Name | | | Middle Name | | | | | List any previously held names: | | | | | | | | | | Address (All correspondence will be mailed here) | | | | | | Apt Number | | | | City | | | State | | | Zip Code | | | | Telephone Number
- - | | | | | | | | | | Email Address | | | | | | | | | | Have you completed the 10th grade in a public school or its equivalency? No Yes | | | | | | | | | Note: If you have been licensed in another state, you may qualify for reciprocity. Please see the Reciprocity Application for more information. (Optional) What is your spoken and written language preference ( Business and Profession Code 7314)? Expedited ☐ SSN ☐ DOB ☐ Name ☐ Address ☐ Phone Number ☐ Email Address ☐ Education ☐ B&P Code 7314 Language req. Status ☒ SECTION A: APPLICANT INFORMATION Form \#F-34556-OOS/OOC-Z-BOC (Rev.August 2025) Page 1 of 4 | SECTION B: BACKGROUND INFORMATION | | | | | --- | --- | --- | --- | | 1. | Have you ever been convicted of or pled no contest to, a violation of any law of the United States, in any state, local jurisdiction, or any foreign country?
If yes, attach a completed Disclosure Statement Regarding Criminal Pleas/Convictions form. If needed, the Board will request more information. | Yes
No | Convictions with docs ☐
Disciplinary Action with docs ☐
CA Licenses ☐
☐ Asylum/ Refugee Docs
Military with docs ☐ | | 2. | Have you ever had any professional or vocational license or application denied, suspended, revoked, placed on probation or other disciplinary action taken by this or any other governmental authority in this state or any other state, or any foreign country?
If yes, attach a completed Disclosure Statement Regarding Disciplinary Action form. If needed, the Board will request more information. | Yes
No | | | 3. | Do you hold any license(s) with a California Board?
If yes, License Number(s): . If the name on your other license(s) does not match the name on this application, submit a Change of Name form with the required documentation with this application. | Yes
No | | | 4. | Were you admitted to the United States as a Refugee, Granted Asylum, or Have a Special Immigrant Visa Status?
If yes, please include a copy of documentation that shows the correct status. | Yes
No | | | 5. | Have you served as an active military member and have been honorably discharged from the United States Armed Forces or are you currently serving in the military and are requesting this application be expedited?
If yes, attach a copy of your DD214, discharge papers, or current orders. | Yes
No | | | 6. | Are you a spouse or registered domestic partner of an active military member and are requesting this application be expedited? If yes, attach a copy of your certificate of marriage or domestic partnership and a co

FAQs

What information is required in Section A for an out-of-state/out-of-country esthetician application?

Section A requests applicant identity and contact details, including name, address, telephone, email, Social Security/ITIN, date of birth, and the education confirmation and language preference under Business and Profession Code 7314.

When can applicants request expedited processing?

Expedited processing is available when the applicant qualifies under specific criteria listed on the form, such as being an honorably discharged veteran, being admitted as a refugee/granted asylum/special immigrant visa status, or other eligible status supported by documentation.

How do applicants qualify in Section C—through experience, education, or military training?

Section C allows different qualification paths: experience using required affidavits and training records, education-only using school records/transcripts, or military training with authenticated statements and V-Met verification records.

Sep 13, 2026

Uploaded by Liam