Fairfax, VA · City of Fairfax
Massage Establishment Application
This application requests a City of Fairfax massage establishment permit and collects business, applicant, operator, and background information for the person or entity applying.
- 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 asks for details about the proposed establishment, its services and location, and the applicant’s residence, work, and permit history. It also requests information about criminal records and the establishment’s operator or manager, and states that the permit is valid for two years from issuance. Applicants submit the application with the stated $150 fee; fingerprints are required only for an original application.
Who needs it
An individual, partnership, association, or corporation applying for a City of Fairfax massage establishment permit should complete this form and provide the information requested for its owners or representatives.
Why it needs a notary
The applicant signs the statement that the information is true and correct before the notary, using the form’s “Sworn before me” jurat block.
How to get this notarized
- 1
Download the Application
Get the City of Fairfax Massage Establishment Application from the city’s official website.
- 2
Fill In the Form
Provide the requested establishment, applicant, operator, history, and background information.
- 3
Book an Online Notary
Arrange a session with a commissioned online notary before signing the sworn statement.
- 4
Sign on Video
Sign the applicant statement during the notary’s video session and complete the jurat.
- 5
Submit to the City
Submit the notarized application and the required fee to the City of Fairfax.
Preview the form
The blank PDF straight from Fairfax. 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 this massage establishment application notarized?
- Complete the application, then book a session with a commissioned online notary. Sign the applicant statement during the video session and submit the notarized form to the City of Fairfax.
- Do I need to sign the application in front of a notary?
- Yes. The form includes an applicant signature line followed by a “Sworn before me” block for a notary public. Sign the statement before the notary.
- Can I complete the notarization online?
- Virginia has been widely credited as the first state to authorize remote online notarization, effective July 1, 2012. A commissioned online notary can notarize your signature in a video session; §47.1-13.1 addresses recognition in Virginia of qualifying acts performed in another state.
- What should accompany the application?
- The form states that the application must be accompanied by a nonrefundable $150 fee. It also requires fingerprints for an original application. Confirm current submission instructions with the City of Fairfax.
- Where can I confirm application requirements?
- Contact the City of Fairfax if you need to confirm how to submit the application or what supporting information is required; confirm with the city, town, or county if unsure.
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