Billerica, MA · Middlesex County
Professional Practitioner of Bodywork Therapy License Application
This application is for new and renewing professional bodywork therapy practitioners seeking licensure from the Billerica Board of Health, with supporting documents and a signed, notarized certification.
- 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
The application collects practitioner contact and work information and requires supporting materials such as education records, work history, identification, references, and a tuberculosis skin test. Applicants certify under the penalties of perjury that their information is accurate and complete, and acknowledge that they will follow the Board’s rules. The form states that applications are subject to a 30-day review and approval period; renewal applicants must complete section 1.
Who needs it
New and renewing professional bodywork therapy practitioners applying to the Billerica Board of Health must submit this application and the required supporting materials.
Why it needs a notary
The form includes an acknowledgment block; the practitioner whose name appears on the application signs voluntarily before the notary, who verifies identity and completes the block.
How to get this notarized
- 1
Download the Application
Get the Professional Practitioner of Bodywork Therapy application from the Billerica Board of Health.
- 2
Complete the Form
Print clearly, select new or renewal, fill in the requested information, and gather the supporting documents listed.
- 3
Book an Online Notary
Schedule a session with a commissioned online notary for the acknowledgment block.
- 4
Sign on Video
Sign the application during the online notary session and follow the notary’s instructions.
- 5
Submit to the Board
Send the completed application, supporting documents, and fee to the Billerica Board of Health.
Preview the form
The blank PDF straight from Billerica. 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 bodywork therapy application notarized?
- Complete the application, then book a session with a commissioned online notary. Sign while connected by video so the notary can verify your identity and complete the acknowledgment.
- Do I need to sign the application in front of a notary?
- The form includes an acknowledgment stating that the practitioner personally appeared before a notary and acknowledged signing voluntarily. Check with the city or town clerk if unsure.
- Can I use a commissioned online notary for this form?
- Massachusetts permanently authorized remote online notarization for its own notaries effective January 1, 2024, under G.L. c. 222, §§27–29. G.L. c. 183, §30(b) recognizes qualifying acknowledgments taken outside the Commonwealth.
- What else must I submit with the application?
- The form lists education records, work history, identification, a recent passport-type photograph, tuberculosis skin-test proof, references, a CORI release, and an application fee among its requirements.