How do I submit the Massage Establishment Registration Application?

Submit the application to the Antioch Police Department at 300 L Street, Antioch, CA 94509. The form lists fees for initial registration, renewal, and each employee.

What information does the application ask for?

It asks for business and owner information, business type, employee certification and identification details, and an applicant acknowledgment and signature.

What attachments does the application require?

The form calls for the names and residences of all members or owners, identification for the owner, and certification and identification copies for employees who provide massage therapy for compensation.

Antioch, CA · Contra Costa County

No notary required

Massage Establishment Registration Application

Massage establishment owners use this application to register a new establishment or renew its registration with the City of Antioch.

What this form is

This application is for an owner with California Massage Therapy Council certification seeking initial registration or renewal of a massage establishment in Antioch. It requests business and owner information, the type of business, employee certification and identification details, and an applicant acknowledgment and signature. The form also calls for attachments listing owners and providing identification, plus employee certification and identification copies.

Who needs it

An owner with California Massage Therapy Council certification seeking to register or renew a massage establishment in Antioch needs this application.

How to submit it

Submit the application to the Antioch Police Department, 300 L Street, Antioch, CA 94509. The form lists initial registration, renewal, and per-employee fees.

About notarization

This document is signed without a notary; the applicant declares under penalty of perjury that the application and attached or associated materials are true and correct.

How to submit this form

1
Download The Application
Download the Massage Establishment Registration Application PDF.
2
Complete The Application
Fill in the business and owner information, select the business type, and complete the applicant acknowledgment and signature.
3
Gather Required Attachments
Attach the owner names and residences, identification, and the requested employee certification and identification copies.
4
Submit To The Police Department
Submit the completed application to the Antioch Police Department, 300 L Street, Antioch, CA 94509.

Frequently asked questions

Do I need a notary for the Massage Establishment Registration Application?: No. This application is signed without a notary; the applicant declares under penalty of perjury that the application and attached or associated materials are true and correct.
How do I submit the Massage Establishment Registration Application?: Submit the application to the Antioch Police Department at 300 L Street, Antioch, CA 94509. The form lists fees for initial registration, renewal, and each employee.
What information does the application ask for?: It asks for business and owner information, business type, employee certification and identification details, and an applicant acknowledgment and signature.
What attachments does the application require?: The form calls for the names and residences of all members or owners, identification for the owner, and certification and identification copies for employees who provide massage therapy for compensation.

Need something notarized?

This Massage Establishment Registration Application doesn’t need a notary — but if you have another Antioch form that does, a commissioned online notary can help.