How do I complete Part II of the body art license application?

Provide the requested personal, residence, work, conviction, and body-art licensing history. Sign the truthfulness statement before a notary, then submit the completed form to the City of Bloomington.

Do I need to sign this form in front of a notary?

Yes. Page 2 includes a subscribed-and-sworn jurat and a space for the applicant to sign before a notary. Do not sign the statement until you are with the notary.

Can I use an online notary for this form?

Minnesota authorizes remote online notarization for its own notaries under the Remote Online Notarization Act, Minn. Stat. §358.645. Ask the City whether it will accept the remotely notarized form; confirm with the city if unsure.

Bloomington, MN · Hennepin County

Body Art Establishment License Application Part II – Personal History

This personal history form collects background information from people responsible for a body art establishment and is submitted to the City of Bloomington as part of its license application.

At a glance

Issued by: City of Bloomington · Bloomington, Hennepin County, Minnesota
Notarization: Required: sign this form in front of a notary before filing it.
Official source: bloomingtonmn.gov
Blank form: Download the PDF
Catalogued: Oct 2, 2026
Machine-readable: JSON record · about the forms index

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

Form previewView full PDF →

What this form is

Part II of Bloomington’s Body Art Establishment License Application gathers personal, employment, residence, and body-art licensing history, along with information about convictions and other background details. The form says it is to be completed by the owner, each general partner, and, for a corporation, each manager, proprietor, or other individual or agent in charge of the licensed premises. It includes a statement of truthfulness and authorization for the City to verify information.

Who needs it

The owner, each general partner, and each corporate manager, proprietor, or other individual or agent in charge of the licensed premises must complete this personal history form.

Why it needs a notary

The form carries a subscribed-and-sworn jurat on page 2; the applicant signs the truthfulness statement before the notary and completes the notarial certificate.

How to get this notarized

1
Download The Form
Get Part II of Bloomington’s Body Art Establishment License Application.
2
Fill In Your History
Complete the requested personal, residence, employment, conviction, and body-art licensing history.
3
Book An Online Notary
Arrange an online notarization and have identification ready for the notary’s identity check.
4
Sign On Video
Sign the applicant statement during the video session and complete the jurat with the notary.
5
Submit To The City
Send the completed Part II to the City of Bloomington with the related license application.

Preview the form

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

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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 Part II of the body art license application?: Provide the requested personal, residence, work, conviction, and body-art licensing history. Sign the truthfulness statement before a notary, then submit the completed form to the City of Bloomington.
Do I need to sign this form in front of a notary?: Yes. Page 2 includes a subscribed-and-sworn jurat and a space for the applicant to sign before a notary. Do not sign the statement until you are with the notary.
Can I use an online notary for this form?: Minnesota authorizes remote online notarization for its own notaries under the Remote Online Notarization Act, Minn. Stat. §358.645. Ask the City whether it will accept the remotely notarized form; confirm with the city if unsure.
Who must fill out this personal history form?: The form directs the owner and each general partner to complete it. For a corporation, each manager, proprietor, or other individual or agent in charge of the licensed premises must also complete it.

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