Miamisburg, OH · Montgomery County
Massage Establishment Application
This application requests a Miamisburg registration certificate for a massage establishment or mobile massage service and collects information from the applicant, property owner, and massage therapists.
- 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
Miamisburg’s Development Department uses this application to review requests for a registration certificate for a massage establishment or mobile massage service. Applicants provide the proposed establishment address, services offered, owner and property-owner details, and the names and license numbers of all therapists providing treatments. The form states that it is required by Chapter 876 of the Business Regulation Code and that the $100 fee is due when the application is submitted.
Who needs it
An applicant seeking a Miamisburg registration certificate for a massage establishment or mobile massage service should complete this form and provide the required therapist information.
Why it needs a notary
The applicant signs the certification before a notary using the form’s “Sworn to and subscribed before me” jurat; the notary completes the date and signs as Notary Public.
How to get this notarized
- 1
Download the Application
Get the Miamisburg Massage Establishment/Mobile Massage application from the city.
- 2
Fill Out the Form
Enter applicant and property-owner details, the proposed address, services, and therapist names and license numbers.
- 3
Book an Online Notary
Arrange a video appointment with a commissioned online notary for the applicant’s sworn statement.
- 4
Sign on Video
Sign the applicant certification during the online notarization session and allow the notary to complete the jurat.
- 5
Submit to the City
Send the completed application and required $100 fee to the Miamisburg Development Department.
Preview the form
The blank PDF straight from Miamisburg. 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 submit the massage establishment application?
- Complete the application, sign its sworn statement before a notary, and submit it with the $100 fee to the Miamisburg Development Department. Contact the department for submission details.
- Do I need to list every massage therapist?
- The form asks for the full name and license number of each person providing treatments. If there are more therapists than the form has space for, attach a separate sheet with their names and license numbers.
- Can I sign this application with a commissioned online notary?
- Ohio authorizes online notarization by its notaries. You can sign during a video session with a commissioned online notary; confirm with the city or village if unsure whether it will accept the notarized application.
- What information should I have ready?
- Gather the proposed establishment address, list of services, applicant and property-owner contact details, and each therapist’s full name and license number. The form also requests the auditor’s parcel number and registration number.
Other forms in Miamisburg
Massage Establishment Application in other Ohio cities
Each city publishes its own version of this form. Pick the city where you’re filing.