Who should complete the Massage Technician Supplemental Business License Application?

Massage technicians or practitioners applying for a Placentia business license should complete the application with their personal details, business information, service description, and history.

What attachment does the application require?

Include a copy of your California massage therapy certificate with the application. The form also says applicable updates must be submitted to the city.

Placentia, CA · Orange County

No notary required

Massage Technician (Practitioner) Supplemental Business License Application

Massage technicians or practitioners use this application to provide personal, business, service, and work-history information for a Placentia business license.

What this form is

This supplemental application collects information from massage technicians or practitioners applying for a Placentia business license. It asks for applicant and business details, a description of services, work and license history, and answers about criminal offenses. The application says a copy of the applicant’s California massage therapy certificate must be included, and applicable updates submitted to the city.

Who needs it

Massage technicians or practitioners applying for a Placentia business license need to complete this application and provide a copy of their massage therapy certificate.

How to submit it

The form lists Code Compliance at 401 E. Chapman Avenue, Placentia, CA 92870, and provides a fax number of (714) 961-0283.

About notarization

This application is signed and dated without a notary; the applicant declares under penalty of perjury and must include a copy of their massage therapy certificate.

How to submit this form

1
Download The Application
Download the Massage Technician (Practitioner) Supplemental Business License Application PDF.
2
Complete The Application
Fill in applicant and business details, describe services, provide history, answer the questions, and sign and date the application.
3
Gather The Certificate Copy
Include a copy of your California massage therapy certificate with the application.
4
Submit To Code Compliance
Use the Code Compliance address listed on the form: 401 E. Chapman Avenue, Placentia, CA 92870.

Frequently asked questions

Who should complete the Massage Technician Supplemental Business License Application?: Massage technicians or practitioners applying for a Placentia business license should complete the application with their personal details, business information, service description, and history.
What attachment does the application require?: Include a copy of your California massage therapy certificate with the application. The form also says applicable updates must be submitted to the city.
Do I need a notary for this application?: No. The application is signed and dated without a notary. The applicant declares under penalty of perjury and must include a copy of their massage therapy certificate.
How do I submit the application?: The form lists Code Compliance at 401 E. Chapman Avenue, Placentia, CA 92870, and provides a fax number of (714) 961-0283.

Need something notarized?

This Massage Technician (Practitioner) Supplemental Business License Application doesn’t need a notary — but if you have another Placentia form that does, a commissioned online notary can help.