Lakeville, MN · Dakota County
Therapeutic Massage Practitioner License Application
This four-page application is for people seeking a City of Lakeville therapeutic massage practitioner license and includes an applicant signature sworn before a notary.
- 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 the applicant’s contact information, work and training history, proposed massage locations, and answers about prior licenses and convictions. Applicants sign a truthfulness statement and authorize the city to investigate the information. The form also includes a consent for release of information. Submit the completed application with required attachments and fees to the City Clerk’s office at City Hall; the form lists the required documents and fees.
Who needs it
Anyone applying for a City of Lakeville therapeutic massage practitioner license should complete this application and provide the listed supporting documents and fees.
Why it needs a notary
The applicant signs the statement on page three, which is subscribed and sworn before a notary; the separate consent form on page four has no notary block.
How to get this notarized
- 1
Download The Application
Get the Therapeutic Massage Practitioner License Application from the City of Lakeville.
- 2
Complete The Form
Fill in the applicant, employment, training, license-history, and other requested information, and gather the listed attachments and fees.
- 3
Book An Online Notary
Arrange an online notarization for the applicant’s sworn statement on page three.
- 4
Sign On Video
Sign the sworn statement during the online notary session so the notary can complete the jurat.
- 5
Submit To The City
Return the completed application and attachments to the City Clerk’s office at City Hall, as directed on the form.
Preview the form
The blank PDF straight from Lakeville. 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 complete the notarized part of this application?
- Complete the application, then sign the truthfulness statement on page three before a notary. The notary completes the “Subscribed and sworn to before me” section.
- Do I need to notarize the consent for release of information?
- The consent form on page four has a signature and date line but no notary block. The notary block appears on page three of the application.
- Can I sign this application with a commissioned online notary?
- Minnesota law authorizes remote online notarization by a commissioned online notary under Minn. Stat. §358.645. Check with the City of Lakeville about accepting a remotely notarized application; confirm with the city if unsure.
- What should I submit with the application?
- The form lists evidence of educational qualifications, name-change documentation if applicable, a copy of photo ID, a $50 license fee, and a $150 investigation fee. Submit these with the application to the City Clerk’s office.