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City of Bloomington, Illinois

cityclerk@cityblm.org

115 E. Washington St., Bloomington, IL, 61701, US

309-434-2509

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AFFIDAVIT FOR SOLE PROPRIETORS THAT PERFORM MASSAGE OR BODYWORK SERVICES
The Affidavit for Sole Proprietors that perform Massage or Bodywork Services should only be completed by massage therapist who are licensed by the State of Illinois under the Illinois Massage Licensing Act (225 ILCS 57/1 et seq.), who operate only as a sole proprietor, and who provides massage and/or bodywork services in a commercial office or suite.

For additional information regarding this exemption, please review Bloomington City Code § 22-1002B(8)(a).

For additional information regarding processing of this affidavit, please visit the Massage or Bodywork Services Webpage on the City's Website.

Before the Affidavit is submitted, sole proprietors must review the sections below for information about what to include as an attachment to the submission. Incomplete submissions cannot be considered.

Exemption Term: May 1st to April 30th Each Year

Required Documents
The following documents must be included with your submission (and if approved, are required to be up-to-date and on file at all times during the license period):
  • Government-Issued Photo ID Copy
  • State of Illinois Massage Therapist License Copy
Renewals
If a Sole Proprietor intends to operate after April 30th of each year, a Massage or Bodywork Services Sole Proprietor Affidavit must be resubmitted in order to renew their exemption for the next year. Note, the City of Bloomington’s license year runs May 1st to April 30th.

A reminder email will be sent the first week of March each year and will contain information on how to submit the Affidavit and required documents in order to complete the renewal process for the next year.
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Upload Attachment(s)

Please upload the following attachments:

There is a 250MB limit on each attachment.

Government Issued Photo ID Copy Click Here to Upload
State of Illinois Massage Therapist License Copy Click Here to Upload
Applicant Additional Attachments, if necessary Click Here to Upload