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Antioch California online Form 14414: What You Should Know

PDF (PDF format) Business License Renewals and Delinquency Records — City of Antioch, California WHAT YOU'LL NEED: City of Antioch Massage Therapy License Application 1) A copy of the massage therapy license The City of Antioch Massage Therapist Application (Form 14414) is available free of charge online or from any City of Antioch Police Station. 2) Copies of the following documents: 1. State issued medical license, such as a health clinic license or a massage therapy license. 2. Certification in massage therapy. 3. State issued written certification indicating the therapist completed all the specified requirements as a massage therapist. 4. A copy of your massage therapy contract. 4) Any fee paid for the massage therapy practice by an Arizona or New Mexico Massage Therapy Agency. 5. Payment of a one-time fees or deposit. (Deposits are not refundable except under certain circumstances under the State of New Mexico Massage Therapist Registration Act, and are nonrefundable for services completed before their effective date.) 6. Proof of business income. 7. Proof of assets. 8. Proof of the total amount you plan to invest. 9. An amount that includes all business costs for the first two years of operation of the massage therapist business. If the business continues after the first two years, you must provide proof of all business expenses for those additional two years. 10. Two (2) recent pay stubs. 11. A photocopy of your business permit at a recent date. A temporary tax-exempt tag or permit is not sufficient. 12. A copy of your medical practitioner letter or record of a licensed medical practitioner stating an appropriate health care facility. 13. In case of an illness or injury to the massage therapist, a copy of the provider letter or certification from a professional association for massage therapists or the American Massage Therapy Association. You may download the massage service provider application form as PDF. Massage therapist application with additional information — City of Antioch, California If the massage therapist is an employee or an independent business owner, the City of Antioch Massage Therapist Application (Form 14414) is also available free of charge online or from any City of Antioch Police Station.

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