Fairfax, VA · City of Fairfax
Massage Therapist Permit Application
This City of Fairfax Police Department application collects personal, employment, licensing, and criminal-history information from people applying for a massage therapist permit.
- 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
Applicants use this form to provide personal and contact details, massage employment history, information about charges and prior permits, and a sworn statement that their answers are true. The City of Fairfax Police Department form includes a routing list for application processing and a $100 fee for a two-year permit; permit holders must report changes to required information within 14 days of learning of them.
Who needs it
Anyone applying to the City of Fairfax Police Department for a massage therapist permit should complete this application and provide the requested background and employment information.
Why it needs a notary
The applicant signs the sworn truth-and-correctness statement before a notary, who completes the form’s sworn-before-me jurat and commission-expiration line.
How to get this notarized
- 1
Download The Application
Get the City of Fairfax Police Department Massage Therapist Permit Application.
- 2
Complete The Form
Fill in the requested personal, employment, criminal-history, and permit information; use an additional form if you need more space.
- 3
Book An Online Notary
Arrange an appointment with a commissioned online notary for the sworn statement.
- 4
Sign On Video
Sign the application during the online notarization so the notary can complete the jurat.
- 5
Submit To The City
Send the completed application to the City of Fairfax Police Department and follow its submission instructions.
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 complete the massage therapist permit application?
- Provide the requested personal, employment, permit, and criminal-history information, then sign the sworn statement before a notary. Submit the completed application to the City of Fairfax Police Department.
- Do I need to sign this application before a notary?
- Yes. The form includes a statement that the information is true and correct, followed by a sworn-before-me jurat for the applicant’s signature and the notary’s commission expiration.
- Can I use a commissioned online notary?
- Virginia is widely credited as the first U.S. state to authorize remote online notarization, effective July 1, 2012. Virginia Code §§47.1-2, 47.1-7, and 47.1-13 address notarial acts; §47.1-13.1 recognizes qualifying acts performed elsewhere. Confirm acceptance with the city.
- Where do I submit the completed application?
- The form is a City of Fairfax Police Department permit application. For submission instructions or questions about completing it, confirm with the city, town, or county if unsure.
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