An application for a license to operate a massage establishment or health spa facility shall include the full name, address, and signature of the applicant, and the following information:

(a) The full and true name(s) or any other name(s) used by each applicant (hereinafter all provisions which refer to applicant include an applicant which may be a partnership or corporation);

(b) The present address and telephone number and social security number of each applicant:

(1) If the applicant is a corporation, the names and residence addresses of each of the officers and directors of said corporation and each stock holder owning more than ten percent (10%) of the stock of the corporation and the address of the corporation itself if it is different from the address of the massage establishment or health spa facility; or

(2) If the applicant is a partnership, the names and residence addresses of each partner, including limited partners and the address of the partnership itself if it is different from the address of the massage establishment or health spa facility.

(c) Name and jurisdiction of registered agent, if applicable;

(d) The location, mailing address and all telephone numbers where the business is to be conducted;

(e) The two (2) previous addresses immediately prior to the present address of the applicant;

(f) Proof that the applicant is at least the age of majority;

(g) Proof of good health required by the Department;

(h) One photograph of each applicant at least two inches by two inches (2"x 2"), fingerprints, and a list of the applicant's occupation or employment for the three (3) years immediately preceding the date of the application;

(i) Driver's license or Government ID and the date of birth of each applicant;

(j) Evidence of legal presence and employability in the United States, if the applicant is not a United States citizen;

1. (k) The massage or similar business history of each applicant; whether such person, in previously operated in the District or another city, county or state:
2. (1) Has had a business license suspended or revoked;
3. (2) The reason for the suspension or revocation; and
4. (3) The business activity or occupation subsequent to such action of suspension or revocation.
5. (l) Proof that the applicant has not been convicted of, pled guilty or nolo contendere to, or served any term of probation as a result of being charged with:
6. (1) A felony;
7. (2) A crime involving moral turpitude;
8. (3) Violation of a controlled dangerous substances law; or
9. (4) Violation of any law regulating the practice of a health occupation;
10. (m) The name and address (non-business address) of each manager, massage therapist, and ancillary employee who are or will be employed in the massage establishment or health spa facility;
11. (n) A description of any other business to be operated on the same premises or on adjoining premises owned or operated by the applicant;
12. (o) Authorization for the Department to seek information and conduct an investigation into the truth of the statements set forth in the application and the qualifications of the applicant for the license;
13. (p) Such other identification and information necessary to verify the truth of the information provided in the application.
14. (q) A complete set of construction plans including all schedules, e.g., floor plans, elevations, electrical schematics, etc; and.
15. (r) Proof of ownership or lease agreement for the property and buildings on which the massage establishment or health spa facility will be built or operated. If an applicant for a massage establishment or health spa facility license does not own the building where the establishment or facility would be located, the building owner shall submit to the Department a notarized statement approving the use of the building as a massage establishment or health spa facility.

Source: Final Rulemaking published at 56 DCR 7975 (October 9, 2009).