Waltham, MA · Middlesex County

Bodywork Establishment Application

This application is for owners seeking a one-year Waltham bodywork establishment permit and asks for establishment, owner, therapist, and prior licensing information.

Standard form~15 min to notarize
  • 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

Waltham’s Board of Health application is for a bodywork establishment permit, which costs $300 for one year. The applicant provides establishment and owner details, lists all permitted therapists who will work there, answers whether a permit or license was ever revoked, restricted, or denied, and signs declarations about the application and compliance with Board of Health regulations. The form also requests identification, a recent photograph, and CPR certificates for the owner and person in charge.

Who needs it

An owner applying for a Waltham bodywork establishment permit should complete this form and provide the requested information and supporting documents.

Why it needs a notary

The form has a notary signature line but no labeled jurat or acknowledgment block; the applicant signs the application before a notary.

How to get this notarized

  1. 1

    Download the Application

    Get the Bodywork Establishment Application from the City of Waltham.

  2. 2

    Fill Out the Form

    Enter establishment and owner details, list permitted therapists, answer the licensing-history question, and gather requested supporting documents.

  3. 3

    Book an Online Notary

    Schedule a remote session with a commissioned online notary for the applicant signature.

  4. 4

    Sign on Video

    Show identification and sign the applicant line during the online notary appointment.

  5. 5

    Submit to the City

    Submit the completed application and requested documents to the Waltham Health Department.

Preview the form

The blank PDF straight from Waltham. Look it over, then upload your filled copy to start the notary session.

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Info

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 establishment application notarized?
Complete the application, then book a session with a commissioned online notary. Sign the applicant line during the video appointment and check with the city or town clerk if unsure whether the notarized form meets submission requirements.
Do I need to sign the application in front of a notary?
The form includes a notary signature line alongside the applicant’s signature and declaration under the penalties of perjury. Sign the applicant line before the notary.
What supporting documents does the form request?
It requests copies of two forms of identification, a recent front-facing color photograph, and CPR certificates for the owner and, if different, the person in charge.
Can I notarize this form online?
Massachusetts permanently authorized remote online notarization for its own notaries effective January 1, 2024, under G.L. c. 222, §§27–29. Confirm with the city or town clerk whether Waltham accepts an electronically notarized application.

Ready to notarize your Bodywork Establishment Application?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.