Hawaii tattoo license • DOH process • clear steps

How to Get a Tattoo License in Hawaii (Step-by-Step Guide)

As of March 4, 2026

The Dream

You want a career you can be proud of—steady work, strong word-of-mouth, and a studio that trusts you with clients. Licensing is part of your professional foundation. It shows you take safety, sanitation, and Hawaii requirements seriously.

The Problem

When you search “tattoo license Hawaii,” you find lots of scattered information. That can create stress. You may worry about missing a document, submitting the wrong form, or delaying your start date.

You shouldn’t have to guess how to work safely and legally—and after reading this article, you won't.

Know What’s Required

Tattoo artists in Hawaii are regulated by the State of Hawaii Department of Health (DOH). The rules are found in Title 11, Department of Health, Chapter 17 (Tattoo Artist). The DOH tattoo licensing information page (including forms) is available here: https://health.hawaii.gov/san/tattoo-lists/.

The Plan (Step-by-Step)

Step 1: Take a DOH-Approved Bloodborne Pathogens Course

Take a bloodborne pathogens (BBP) course developed specifically for the tattoo industry from an online provider that has been approved by the State of Hawaii Department of Health. When you pass the course, you will receive your certificate.

Get your BBP certification now.

Step 2: Complete the Application for a New Tattoo Artist License

After you pass the BBP course, complete the Application for New Tattoo Artist License using the DOH form.

Step 3: Complete the Required Physical Examination Documentation

Under Title 11, Chapter 17, no license shall be issued or renewed unless the applicant has undergone a physical examination using report forms provided by the department. The exam includes a chest x-ray or tuberculin skin test and a blood test for syphilis.

Use the official Tuberculosis and Syphilis Report Form provided by the Department of Health: https://health.hawaii.gov/san/tattoo-lists/.

Step 4: Submit Your Application Packet (Mail or Walk-In)

Mail or walk in your completed packet to the DOH Food Safety Branch:

Dept of Health / Food Safety Branch
99-945 Halawa Valley St.
Aiea, HI 96701

Include:

  • Copy of the Bloodborne Pathogen Certificate (DOH will verify your certificate)
  • Application for New Tattoo Artist License
  • Fee: $75 (Cash or Check). Check payable to: State of Hawaii
  • Tuberculosis and Syphilis Report Form (original)

Step 5: Receive Your License by Mail

After the Department of Health reviews and approves your application, your tattoo artist license will be mailed to you.

Your original TB/Syphilis Report Form will also be mailed back to you.

Step 6: Provide Required Copies to Your Tattoo Shop

Before you start tattooing in a Hawaii tattoo shop, provide the shop with a copy of your Hawaii tattoo license and a copy of your TB/Syphilis Report Form.

Title 11, Chapter 17 requires the physical examination record to be kept on file in the tattoo shop by the permit holder.

Quick Start Checklist

  • Take a DOH-approved bloodborne pathogens course for tattoo artists (the Hawaii Department of Health approves Body Art Training Group's Nationwide Course)
  • Pass the course and save your certificate
  • Complete the Application for New Tattoo Artist License
  • Complete the required physical exam (TB screening + syphilis blood test) using DOH forms
  • Prepare the $75 fee (cash or check payable to State of Hawaii)
  • Mail or walk in your full packet to DOH Food Safety Branch (Aiea)
  • Receive your license by mail and keep copies
  • Provide your license + TB/Syphilis form copies to your employing tattoo shop

Common Questions

Is tattooing regulated statewide in Hawaii?

Yes. Tattooing is regulated by the Hawaii Department of Health under Title 11, Chapter 17.

Do I need bloodborne pathogens training?

Yes. Take a bloodborne pathogens course developed for the tattoo industry that is approved by the State of Hawaii Department of Health.

Do I need a medical screening?

Yes. The required physical examination includes a chest x-ray or tuberculin skin test and a blood test for syphilis, using DOH report forms.

Follow the Step-by-Step Plan

When you complete the tattoo artist licensing process, you can work legally in Hawaii tattoo studios, reduce inspection stress, and build trust with clients. Licensing supports your professional reputation and helps protect public health.

Don’t Try to Take Shortcuts

If you skip steps or submit incomplete paperwork, your application can be delayed or denied. Working without proper licensing can also create compliance issues for you and the shop. Following the DOH process protects your time, your clients, and your career.

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