180 S. Main St., Ste. 252, Martinsville, IN 46151

765-342-6621, Fax: 765-342-1062 morgancohd@morgancountyhealth.com

Online Tattoo Permit Application

The fee for the Tattoo Parlor or Body Piercing Establishment Permit is $200.

Credit or debit card via the GovPay website:

GovPay Button

***Please note: When paying online, you MUST include a copy of the receipt from GovPay with your application forms. Please fill out one form for each establishment. You may combine payments for your establishments, but you must upload the GovPay receipt to each form.

Application for Tattoo Parlor/Permanent Makeup/Body Piercing Establishment

Name of Establishment:*
E-mail:*

Email addresses are solely used as contact information and will not be shared with 3rd parties.

Establishment Phone:*
-
Establishment Address:*
Owner's Name:*
Owner's Phone:*
-
Owner's Address:*

Biohazard Waste Disposal Company Information:

Biohazard Company Name:*
Biohazard Company Phone:*
-

Artist Information (name, address, phone):

Artist 1:
Artist 2:
Artist 3:
Artist 4:

Contact Information in Case of Emergency:

Name and Phone:*
Go paperless! Please indicate below if you would prefer electronic notification regarding your permit(s):

Payment Information:

Total Amount Paid to GovPay:*
GovPay Transaction Number:*
Upload a Copy of GovPay Receipt (jpg, jpeg, png, gif, doc, docx, xls, xlsx):*
Word Verification: