Who completes the Massage Establishment/Massage Therapist Permit Addendum?

The establishment owner/operator and each massage therapist working at that location complete the form. Each therapist needs a separate form unless the business owner is also the therapist.

What attachments does the permit application require?

The form lists a copy of the applicant’s massage therapist certification, three full-face photographs and one profile photograph, and the application fee. It also asks about fingerprints and a consent form for a criminal records search.

Do I need a notary for the Massage Establishment/Massage Therapist Permit Addendum?

No. The document has no notary block; the applicant signs and dates it. It does not identify any attachment or related step as notarized or sworn.

Warrenton, VA · Fauquier County

No notary required

Massage Establishment/Massage Therapist Permit Addendum

This addendum collects business and personal details for a massage establishment owner/operator or each massage therapist applying for a Town of Warrenton permit.

What this form is

Use this addendum for a massage establishment owner/operator and each massage therapist working at that location; each therapist must complete a separate form unless the business owner is also the therapist. It asks for business and personal information, criminal and licensing history, and employment history. The application also requires specified attachments, and an acceptable zoning inspection is needed before final permit issuance.

Who needs it

A massage establishment owner/operator and each massage therapist working at that location must complete this addendum for the permit application.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details. The form identifies the Department of Community Development.

About notarization

This document is signed without a notary; the applicant signs and dates the form, and it does not identify any attachment or related step as notarized or sworn.

How to submit this form

1
Download the Addendum
Download the Massage Establishment/Massage Therapist Permit Addendum.
2
Complete the Form
Provide the requested business, personal, criminal, certification, licensing, and employment information.
3
Gather Required Attachments
Include the certification copy, three full-face and one profile photograph, and the application fee.
4
Submit to the City
Submit the form to the city department named on it; check the city website for current contact details.

Frequently asked questions

Who completes the Massage Establishment/Massage Therapist Permit Addendum?: The establishment owner/operator and each massage therapist working at that location complete the form. Each therapist needs a separate form unless the business owner is also the therapist.
What attachments does the permit application require?: The form lists a copy of the applicant’s massage therapist certification, three full-face photographs and one profile photograph, and the application fee. It also asks about fingerprints and a consent form for a criminal records search.
Do I need a notary for the Massage Establishment/Massage Therapist Permit Addendum?: No. The document has no notary block; the applicant signs and dates it. It does not identify any attachment or related step as notarized or sworn.
How do I submit the Massage Establishment/Massage Therapist Permit Addendum?: Submit it to the city department named on the form; check the city website for current contact details. The form identifies the Department of Community Development.

Need something notarized?

This Massage Establishment/Massage Therapist Permit Addendum doesn’t need a notary — but if you have another Warrenton form that does, a commissioned online notary can help.