Corona, CA · Riverside County
Massage Establishment Manager Receipt of Corona Municipal Code Chapter 5.28
This form documents that a massage establishment manager received Chapter 5.28, understands its contents, and understands the manager’s responsibilities.
What this form is
The form records a designated massage establishment manager’s receipt of Chapter 5.28 and understanding of its contents and duties. The operator must file a signed and dated statement for each designated manager with the Chief of Police. It asks for the manager’s printed name, signature, and date, and includes a certification made under penalty of perjury.
Who needs it
Operators of massage establishments need a signed and dated receipt from each designated manager to file with the Chief of Police.
How to submit it
File the signed and dated manager statement with the Chief of Police at the Corona Police Department, 730 Public Safety Way (P.O. Box 940), Corona, California 92878-0940.
About notarization
This document is signed without a notary; the manager signs and dates a certification under penalty of perjury.
How to submit this form
- 1
Download The Form
Download the Massage Establishment Manager Receipt.
- 2
Complete The Form
Print the manager’s name, then have the manager sign and date the certification.
- 3
Gather Attachments
The form does not specify any attachments.
- 4
Submit To The City
File the signed and dated statement with the Chief of Police at the Corona Police Department.
Frequently asked questions
- Do I need a notary for the Massage Establishment Manager Receipt?
- No. The manager signs and dates the form without a notary; the signature certifies under penalty of perjury that the manager received and understands Chapter 5.28 and the manager’s duties.
- Who files the Massage Establishment Manager Receipt?
- The operator files a signed and dated statement from each designated manager with the Chief of Police.
- What information does the form ask for?
- It asks for the manager’s printed name, signature, and date, and includes a certification that the manager received and understands Chapter 5.28 and the manager’s responsibilities.
- How do I submit the Massage Establishment Manager Receipt?
- File the signed and dated statement with the Chief of Police at the Corona Police Department, 730 Public Safety Way (P.O. Box 940), Corona, California 92878-0940.
Need something notarized?
This Massage Establishment Manager Receipt of Corona Municipal Code Chapter 5.28 doesn’t need a notary — but if you have another Corona form that does, a commissioned online notary can help.