Larkspur, CA · Marin County
Change to Certified Massage Practitioners Application
Massage establishments use this application to report employees they propose to add, delete, or retain for paid massage therapy.
What this form is
This application reports changes to practitioners working for a registered massage establishment in Larkspur. The form says certified massage establishments or operator permits must identify all employees, and asks for establishment and owner details, practitioner names, and operational checklist responses. For each person listed, it requests copies of current California Massage Therapy Council certification and identification.
Who needs it
Owners or operators of registered massage establishments use this application when proposing to add, delete, or retain employees who provide paid massage therapy.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document has no notary block; it requests practitioner certification and identification copies, but identifies no sworn or notarized attachment.
How to submit this form
- 1
Download The Application
Download the massage practitioner change application.
- 2
Complete Establishment Details
Enter the application date, current permit number, establishment and owner information, and proposed practitioner changes.
- 3
Gather Practitioner Documents
For each person listed, gather copies of current California Massage Therapy Council certification and identification.
- 4
Complete The Checklist
Circle the applicable responses in the operational checklist and add staff comments if needed.
- 5
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the massage practitioner change application?
- No. The application has no notary block and identifies no sworn or notarized attachment; it requests practitioner certification and identification copies.
- How do I submit the massage practitioner change application?
- The form does not provide submission instructions. Submit it to the city department named on the form and check the city website for current contact details.
- What practitioner changes does this application cover?
- The application covers employees the establishment proposes to add, delete, or retain to perform massage therapy for compensation.
- What attachments does the application request?
- For each person listed, provide a clear, legible color copy of current California Massage Therapy Council certification and a copy of that council-issued identification card.
Need something notarized?
This Change to Certified Massage Practitioners Application doesn’t need a notary — but if you have another Larkspur form that does, a commissioned online notary can help.