Merriam, KS · Johnson County
Massage Therapist License Application
This application collects personal, employment, education, and background information from people applying for a new or renewed Merriam massage therapist license, and requires the applicant’s signature to be notarized.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Merriam uses this two-page application for people seeking a new massage therapist license, a renewal, or a home occupation license. Applicants provide personal details, employment history, information about prior licenses and criminal convictions, and proof of education and first aid and CPR certification. The application also requires a sworn statement that the information is true and authorizes the city to investigate the applicant’s qualifications. Fees are non-refundable, and renewals filed after March 1 are considered new applications.
Who needs it
Anyone applying for a new or renewed massage therapist license or a home occupation license in Merriam should complete this application and provide the listed supporting documents.
Why it needs a notary
The applicant signs the certification before a notary, who completes the form’s Kansas and Johnson County jurat stating the applicant subscribed and swore to it.
How to get this notarized
- 1
Download the Application
Download Merriam’s Massage Therapist License Application and review the instructions and fee information.
- 2
Fill Out the Form
Complete the applicable license section and provide your personal, employment, and background information. Gather the supporting documents listed on the form.
- 3
Book an Online Notary
Schedule a session with a commissioned online notary. Leave the certification signature blank until the notary instructs you to sign.
- 4
Sign on Video
Show identification and sign the certification during the video session so the notary can complete the jurat.
- 5
Submit to the City
Follow Merriam’s instructions to submit the notarized application, supporting documents, and applicable fee.
Preview the form
The blank PDF straight from Merriam. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I get the application notarized online?
- Complete the application but wait to sign the certification. Book with a commissioned online notary, show identification, and sign during the video session so the notary can complete the jurat.
- Do I need to sign this application in front of a notary?
- Yes. The form says all signatures must be notarized and includes a jurat where the applicant swears to the truth of the information before a notary.
- What supporting documents does the application list?
- The form asks applicants to submit written proof of age and proof of education, plus proof of American Red Cross First Aid and American Heart Association CPR certification or the equivalent.
- Can I submit this application after March 1 as a renewal?
- The form states that renewals submitted after March 1 will be considered new applications. Contact Merriam with questions about your filing; confirm with the city if unsure.
- Does Kansas allow online notarization for this form?
- Kansas law authorizes remote online notarization by a commissioned online notary. Ask the city whether it accepts an online-notarized version of this application before submitting.
Massage Therapist License Application in other Johnson County cities
Each city publishes its own version of this form. Pick the city where you’re filing.