Instructions: A Certification of Record Form is to be used when you are transferring your Arkansas license to another state.
Please complete the following information, then click the 'Submit and Pay' button.You will be directed to the Arkansas GovPay
payment portal where you will complete your request by submitting a credit card payment.Upon successful payment, you will receive
a receipt email. In 1-5 business days your request will be processed by Arkansas Department of Health Cosmetology Section staff.
If all information is current and valid, your certification will be mailed to the requested State Board and you will be notified via email of the processed request.
An unexpected error has occured. The system administrator has been notified, no further action is required.