Massage Ordinance Background Check

Massage Ordinance Background Check

Please complete all sections to provide personal background information for the massage ordinance application.
Business Name
Are you entering background check information for more than one employee?
Please complete the fields below.
Any individual and state-licensed massage and bodywork therapist or massagist who does not have employees or independent contractors providing massage and bodywork therapy services is exempt from a city business permit and does not need to complete this permit application. Any person exempted from the requirement of a state massage and bodywork therapy license under G.S. 90-622 as amended is also exempt from applying for a city massage business permit. Only a business or individual that hires employees or independent contractors to perform massage and bodywork therapy are required to obtain a city business permit.
Permit Number
First Name
Middle Name
Last Name
Alias
SSN or TIN
Address
City
State
ZIP (Five Digits)
Phone
Please enter a valid phone number.Format: (000) 000-0000.
State Where ID/DL Was Issued
State ID/Driver's License #
State Board License Number
State Board License Expiration Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Current Employee
Upload the massage license for the above employee.

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