New Jersey Board of Massage and Bodywork Therapy
Applications and Forms
Applications / Registrations
Request a Duplicate License
Reinstatements / Reactivations
Application for Reinstatement or Reactivation of a License
You are required to submit proof of your professional liability insurance along with this application.
the employment history page please be sure to provide the following:
A detailed employment history to include name(s) of employer(s),
address of employer(s), dates of employment, job title(s), job duties and hours
worked for your application to be reviewed.
If you do not have previous employment history, provide a
narrative explaining what you were doing from the time the license expired to
the time you filed the application.
Please email your reinstatement application to email@example.com for
immediate review. Do not mail the reinstatement application or a payment,
we will email you an invoice to pay online once you we receive your
reinstatement application via email. Thank you.
Application to Reinstate Business License
complete this application if you have previously had a Business License that is currently expired. If you are applying for a Business License for the first time, please complete the
Massage and Bodywork Therapist Employer Registration
form in the above section.
a completed reinstatement application to
– do not mail a payment, we will email you an invoice to pay online once you email your application to the board office. Thank you.
Supervising Faculty Member Certification
To the sending school - please be advised, even if you are signing for a closed school, you must complete the information in the form of the applicant name, the school and the school address that the applicant attended. If you sign only the bottom of the form, the form cannot be accepted.
Last Modified: 4/19/2021 9:32 AM