The Tanning Facility Permit Application (105 CMR 123.000) is the Boston Public Health Commission (BPHC) form that businesses offering tanning in the City of Boston use to request a new annual permit or to renew an existing one. The owner lists the facility, the owner's contact details, the permit fee calculation and every tanning device, then certifies the statements and signs. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the form is published by the City of Boston, and the BPHC Environmental & Occupational Health Division (EOH) receives it by mail.
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What is Tanning Facility Permit Application – Boston, MA?
The Tanning Facility Permit Application (105 CMR 123.000) is the Boston Public Health Commission (BPHC) form that a business offering tanning in the City of Boston uses to apply for, or renew, its annual tanning facility permit.
BPHC implements and enforces the Massachusetts Department of Public Health regulations for facilities that provide tanning services, and all businesses offering tanning must get an annual permit from BPHC. This form is the written application for that permit. It collects the facility's name, address and phone number, the owner and manager, the number of tanning devices on which the permit fee is calculated, and a device-by-device list with manufacturer, model, serial number, UV lamp details and installer.
The form ends with an Applicant Statement of Consent. By signing it, the facility owner states that the permit is valid only in the City of Boston and expires one year after the date it is issued, confirms having read the Massachusetts tanning regulations (105 CMR 123.000), and certifies under penalties and pains of perjury that the information is complete and accurate.
Submitting the form does not by itself produce a permit. The form states that no permit is issued until the Environmental & Occupational Health Division (EOH) has a complete application, with all attachments and the permit fee, and has inspected the facility to verify that it meets the state tanning regulations.
Who needs to file Tanning Facility Permit Application – Boston, MA?
The owner of a tanning business in the City of Boston files this application. BPHC's permits page states that all businesses offering tanning must get an annual permit, so the form is used both by new establishments and by facilities renewing an existing permit.
- New establishments check New establishment and must attach the facility's operating and safety procedures and its consent form, as specified under 105 CMR 123.003(D)(2) and (3).
- Renewing facilities check Permit renewal and enter the previous permit number.
- Partnerships and corporations must list every partner or corporate officer on a separate attached page, with name, physical address (no PO Box) and phone number, and check the box on the form.
The facility owner signs the Applicant Statement of Consent and prints their name. The form does not describe signing by a representative.
The permit is valid only in the City of Boston, so a facility located elsewhere does not use this form.
When to file Tanning Facility Permit Application – Boston, MA
File the application when you open a new tanning establishment in Boston, or when your existing permit is due for renewal. The permit expires one year after the date it is issued, and BPHC states that permits must be renewed every year.
The form prints no calendar deadline. For a first permit, BPHC's permits page advises confirming with the Inspectional Services Department that the space's zoning and Certificate of Use and Occupancy allow tanning before you submit the application, fee and documents. After your application is processed, BPHC inspects the facility; inspections also take place at each renewal, after a public complaint and as random spot inspections. No permit is issued until the application is complete and the inspection has verified compliance with the state tanning regulations. The form gives no processing time.
Documents you need
- Tanning facility's operating and safety procedures: attach a copy; required from new applicants only.
- Tanning facility's consent form, as specified under 105 CMR 123.003(D)(2) and (3): attach a copy; required from new applicants only.
- Separate page listing the name, physical address (no PO Box) and phone number of all partners or corporate officers: attach it only if ownership is a partnership or corporation, and check the box on the form.
- Additional pages listing each tanning device and lamp, when the facility has more devices than fit in the device section of the form.
- Check or money order for the permit fee, made payable to Boston Public Health Commission; it must accompany the application.
How to fill out Tanning Facility Permit Application – Boston, MA
Enter the application date
Write the date you complete the application in the Application Date field at the top of page 1.
Select the application type
Check New establishment, or check Permit renewal and enter the previous permit number.
Complete the establishment information
Enter the Facility Name, Facility Phone Number, Facility Address, Owner Name and Manager Name.
Add owner contact details
Enter the Owner Address, Owner Phone Number and Owner E-Mail. If ownership is a partnership or corporation, attach the separate page of partners or officers and check the box.
Calculate the permit fee
Enter the Number of Tanning Devices, multiply by the fee per device printed on the form and enter the Total. Prepare a check or money order payable to Boston Public Health Commission.
Answer the new-applicant items
New applicants only: attach copies of the operating and safety procedures and the consent form, and mark Yes or No for whether eye cups/goggles are offered to clients or customers.
List each tanning device
For Tanning Device 1, 2 and any more, enter the device name, manufacturer, model number, year and serial number. Attach additional pages if you have more devices than the form shows.
Describe the UV lamps
For each device enter the Brand and Model of UV Lamp, Length, Wattage, Base (bi-pin or RDC) and Color.
Enter supplier and installation details
For each device enter the Device Supplier/Installer, its address and phone number, and the Date of Installation.
Read and sign the consent statement
Review the Applicant Statement of Consent on page 3. The facility owner signs, dates and prints their name below it.
Review and download the PDF
Check that every section, attachment and the fee total are complete, then download or print the completed PDF from FillingPDF and mail it as described under How to submit.
How to submit Tanning Facility Permit Application – Boston, MA
Mail the application to the Boston Public Health Commission's Environmental & Occupational Health Division; BPHC's permits page also refers to the My Health Department portal for some permits.
- By mail: ATTN: Tanning Facility Application, Environmental & Occupational Health Division, Boston Public Health Commission, 1010 Massachusetts Avenue, 2nd Floor, Boston, MA 02118. Send the complete application, all attachments and a check or money order for the permit fee, payable to Boston Public Health Commission.
- My Health Department portal: BPHC's Public Health Permits page says permit applications can be submitted through the portal or by mail, and that the method differs by permit. The tanning form itself gives only the mailing instruction, so call 617-534-5965 to confirm whether the portal can be used for this permit.
A permit fee applies and is calculated per tanning device; it is paid by check or money order, not in cash. The form lists the per-device rate. No permit is issued until the EOH has the complete package and has inspected the facility. FillingPDF lets you fill out and download the PDF; submission follows the channels above.
Common mistakes to avoid
- Mailing the application without the permit fee or without a check or money order; no permit is issued until the application, attachments and fee are all received.
- Making the payment out to the City of Boston or another payee instead of Boston Public Health Commission.
- Leaving out the operating and safety procedures or the consent form when applying as a new establishment.
- Listing a PO Box for partners or corporate officers; the form asks for physical addresses and a separate attached page.
- Checking Permit renewal without entering the previous permit number.
- Listing only some of the tanning devices; the form asks for all devices and lamps at the facility, with additional pages as needed.
- Sending the form unsigned or without the owner's printed name and date in the Applicant Statement of Consent.
- Expecting to operate once the form is mailed; the permit is issued only after EOH inspects the facility.
- Assuming the permit covers other locations; it is valid only in the City of Boston and expires one year after issue.
Frequently asked questions
What is the Tanning Facility Permit Application in Boston?
It is the Boston Public Health Commission form for obtaining or renewing the annual permit that every business offering tanning in Boston must hold. It lists the facility, owner and tanning devices and ends with the owner's signed statement of consent under 105 CMR 123.000.
Do I need a permit to run a tanning business in Boston?
Yes. BPHC states that all businesses offering tanning must get an annual permit from the Boston Public Health Commission. The permit is valid only in the City of Boston and expires one year after the date it is issued.
What do I attach to the tanning permit application?
New applicants attach copies of the facility's operating and safety procedures and its consent form under 105 CMR 123.003(D)(2) and (3). Partnerships and corporations attach a page listing partners or officers. Every application includes the fee payment.
How do I pay the tanning facility permit fee?
Pay by check or money order made payable to Boston Public Health Commission and include it with the mailed application. The fee is calculated per tanning device; check the per-device rate printed on the form or call 617-534-5965.
Where do I mail the Boston tanning permit application?
Mail it to ATTN: Tanning Facility Application, Environmental & Occupational Health Division, Boston Public Health Commission, 1010 Massachusetts Avenue, 2nd Floor, Boston, MA 02118, with all attachments and the fee. The phone number on the form is 617-534-5965.
How do I renew a Boston tanning facility permit?
Use the same application: check Permit renewal and enter your previous permit number. The permit expires one year after issue and BPHC says permits must be renewed every year, with inspections at each renewal.
Do I get the permit as soon as I mail the form?
No. The form states that no permit is issued until EOH receives a complete application with all attachments and the fee, and an inspection verifies the facility meets the Massachusetts tanning regulations.
Can I fill out the tanning permit application online?
You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is independent of the City of Boston and does not submit the application; you send it to BPHC by the channels the agency provides.
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