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Shoreview

Massage Therapist License Application

Thank you for submitting your application. There are three ways to pay for your license:

  1. Online with a credit card - a service charge will be applied
  2. Call 651-490-4600 to pay with a credit card 
  3. Send a check to city hall (attn: administration)

Applicant information

Address

Have you lived outside of Minnesota in the past five years?

A copy of drivers license/MN state ID or other govt. issued ID proof

A front face photo of the applicant (taken within the last 30 days)

Please upload your proof of insurance and 500 credit hours/comprehensive certificate of massage if applying for the first time.

Please upload your certificate of compliance for workers' compensation if it's not included on your employer's insurance.

Third-party background check

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Business information

Massage therapy can only be practiced in a business that is licensed by the City of Shoreview.

Address

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Consent for the release of information

This consent is for the relase of information in accordance with MSA 13.05, subd. 4(d)

I authorize the Ramsey County Sheriff’s Office to release criminal history data, as defined by Minnesota Statute 13.87, subd. 1 and driver’s license and traffic record data to the assistant city manager or their designee for the City of Shoreview. I understand that some of this data may be classified as private data under Minnesota statutes and I hereby give my informed consent to the release of that private data by the Ramsey County Sheriff’s Office to the assistant city manager or their designee for the City of Shoreview. This consent for the release of data is for the purpose of obtaining a permit or license with the City of Shoreview. This information cannot be used for any other purposes. This authorization may be revoked in writing by me at any time and in no event will it be valid for more than one year from the date below.

Full Name

Address

Date of birth

By signing this application, I:

  • Swear that all statements by me on this form are true and complete to the best of my knowledge
  • Am at least 18 years old
  • Hold a comprehensive certificate of massage 
  • Have read and understand the conditions set forth for massage establishment licenses as outlined in chapter 10, article VIII of the city code
  • Understand that false statements or omissions shall be sufficient cause for rejecting my license
  • Authorize the City of Shoreview to use this information to determine my suitability for obtaining a license.

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