Wisconsin Department of Safety and Professional Services
Health & Business Renewal Application
Application Status Query
Instructions:
Please allow one hour after receipt of your status update email for the updates to be reflected in the online checklist.
Please verify the checklist information below, including your address. If your address has changed, please
e-mail
your application number, name, profession, along with your old and new address. The Credentialing department posts status information following receipt and review of application materials.
As of
:
12/22/2016
Application#
:
592089
Name
:
SCHULTZ, XIA
Profession
:
Cosmetologist
Address
:
STEVENS POINT, WI
Application Status
:
Withdrawn (Abandoned)
Requirements Not Met:
Description
Status
Comments (Please note, not all requirements will include comments)
Conviction and Pending Charges Form #2252
Not Met
12/8/2016 Please submit:
•Fee of $8.00 CIB review fee
•Copy of the police report or criminal complaint.
•Certified copies of court documents for conviction
•Verification of compliance with all terms of each sentence, including chemical dependency assessments (if ordered by the court).
•Personal statement describing the facts that led to each offense (i.e. who was involved, where you were, and what happened), penalties imposed, and verification you completed all requirements.
•IF your conviction was drug or alcohol related, please submit a current usage statement.
•IF your conviction was a felony, we will need the names of training schools and dates you attended any training school, this can be sent via email.
•You may submit these documents to: dspscredbac@wisconsin.gov FAX: 608-261-7083, or DSPS, attn.: Barbering/Cosmetology, PO Box 8935, Madison, WI 53708
You have been approved to take the state board exam. But you are not eligible for a temporary work permit or the permanent license after passing the exam until this information has been approved by our Department. ***The review process of the above requested information is not started until ALL documentation is received. The review process can vary in time and can take up to or more than 30 business days if all required documentation is not initially received. All files are reviewed in the order in which received.
Exam score from Testing Service
Not Met
Requirements Met:
Description
Status
Comments (Please note, not all requirements will include comments)
Exam Application
Met
Certification of Training
Met
12/20/2016
Please contact the school you had attended to request our Certification of Training (COT) Form #3044 be submitted to our office at dspscredbac@wisonsin.gov http://dsps.wi.gov/Documents/Credentialing%20Forms/Business%20Application%20Forms/fm3044.pdf
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