Corona, CA · Riverside County

No notary required

Massage Permit History Continuation

This continuation form lets massage permit applicants list additional business licenses, permits, and massage businesses they currently or previously held or owned.

What this form is

Use this continuation to provide additional information about licenses or permits to do business, and massage businesses you own or partly own. It provides spaces for four entries, including business name, permit type, address, issuing agency, permit dates, and whether a license was denied, suspended, revoked, or subject to violations or penalties. For any such history, the form asks for the reason.

Who needs it

Massage permit applicants who need additional space to report business licenses, permits, or massage business ownership can use this continuation.

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 is completed without a notary; it mentions no notarized or sworn attachment, and the text shows no signature or date field.

How to submit this form

  1. 1

    Download The Form

    Download the Massage Permit History Continuation PDF.

  2. 2

    Complete The Entries

    Provide details for each license, permit, or massage business, including dates and any denial, suspension, revocation, violation, or penalty reason.

  3. 3

    Check For Attachments

    The document text does not identify any required attachments.

  4. 4

    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

What information does the Massage Permit History Continuation request?
It asks for business names, license or permit types, addresses, issuing agencies, permit dates, and whether a license had certain negative actions or penalties, including the reason.
Who should use this continuation form?
Massage permit applicants who need to list licenses or permits they currently or previously held or applied for, or massage businesses they own or partly own, can use it.
Do I need a notary for the Massage Permit History Continuation?
No. The document has no notary block and mentions no notarized or sworn attachment; its text also shows no signature or date field.
How do I submit the Massage Permit History Continuation?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Massage Permit History Continuation doesn’t need a notary — but if you have another Corona form that does, a commissioned online notary can help.