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Massage/Bodywork Sole Proprietors Renewal Affidavit
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).

Below is a list of the document(s) that are required in order for your renewal to be considered complete.

Required Documentation
The following are required to be submitted by all individuals looking to renew their current exemption.
  1. Affidavit of License Renewal - By signing the affidavit, the representative verifies that no significant changes have been made since the last approval.
Conditional Document Requirements
The following are required to be active and on file at all times for all licensees. If the document listed below is currently active and on file, there is no need to include it with your submission.
  • Government-Issued Photo ID Copy
  • State of Illinois Massage Therapist License Copy
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All documents can be uploaded by clicking the paperclip on the top-left of the form.
Please check that you agree before continuing.
By continuing, I agree that I am willing to complete a digital version of the document(s) and that information about my user session will be stored.
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Signature HereClick to Sign
Your Name HereClick to Sign
04/15/2026Click to Sign
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Signature HereCity Clerk Designee Will Sign Here
04/15/2026
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Additional Signatures Required

Upload Attachment(s)

Please upload the following attachments only if they have expired or are set to expire prior to the end of the renewal period (05/01). There is a 250MB limit on each attachment.

Copy of IL Massage Therapist License Click Here to Upload
Copy of Driver's License Click Here to Upload