Scotts Valley, CA · Santa Cruz County
Massage Practitioner Registration Application
Massage practitioners use this application to register with the City of Scotts Valley Police Department and provide information about their identity, certification, and work.
What this form is
The City of Scotts Valley Police Department’s application collects a practitioner’s personal and contact details, CAMTC number, business information, and the type of treatment offered. Applicants must provide a photo identification copy and copies of their CAMTC certificate and CAMTC-issued identification card, then sign and date the application. The form also says practitioners must report specified certification or employment changes to the Police Department within ten days.
Who needs it
Massage practitioners applying for City certification should complete this application and provide the identification and CAMTC documents listed on the form.
How to submit it
Provide the completed application to the Scotts Valley Police Department. The form does not list contact details; check the city website for current submission information.
About notarization
This application is signed and dated without a notary; it includes a verification under penalty of perjury, but does not indicate that notarization is required.
How to submit this form
- 1
Download The Application
Download the Massage Practitioner Registration Application PDF.
- 2
Complete The Application
Fill out the requested personal, residence, business, CAMTC, and treatment information completely and accurately.
- 3
Gather Required Documents
Include a copy of photo identification and copies of your CAMTC certificate and CAMTC-issued identification card.
- 4
Sign And Submit
Sign and date the application, then provide it to the Scotts Valley Police Department.
Frequently asked questions
- Do I need a notary for the Massage Practitioner Registration Application?
- No. The application calls for a signature and date, and includes a verification under penalty of perjury; it does not indicate that notarization is required.
- How do I submit the Massage Practitioner Registration Application?
- Provide the completed application to the Scotts Valley Police Department. The form does not give contact details, so check the city website for current submission information.
- What documents must I include with the application?
- The form requires a copy of your driver license or other photographic identification, plus copies of your CAMTC certificate and CAMTC-issued identification card.
- What changes must I report after applying?
- The form says to notify the Scotts Valley Police Department within ten days of a change in CAMTC certification status, employer, or employer address.
