One Capitol Mall, Suite 800
Sacramento, CA 95814
Instructions for authorizing a representative: In order for a person other than the CAMTC applicant or certificate holder to speak with or email CAMTC staff on the applicant’s/certificate holder’s behalf, the applicant or certificate holder must sign and submit the form below. If you choose to do so, please complete the form, date and sign, and print your full exact name below your signature. Once completed, dated and signed, please email the completed form to the email address on the letterhead above.
I, ___________________________________, CAMTC ID Number_______________, hereby authorize ________________________________ (hereafter “Representative”) to communicate with CAMTC on my behalf in relation to my CAMTC application, certification, and any and all issues related to my CAMTC application or certification. I further authorize CAMTC to share any and all documents and information related in any way to me and my Application for CAMTC Certification or my CAMTC Certificate with my Representative. This authorization shall remain in full force and effect until I notify CAMTC in writing that it has been rescinded.
California Massage Therapy Council
This Google translation feature is provided for informational purposes only. CAMTC cannot and does not guarantee the accuracy of any translation provided by this feature. All applicants and certificate holders are responsible for providing true and accurate information to CAMTC and you cannot abrogate your duty by relying on this Google translation feature. Please consult a certified translator to provide accurate translation of the information and documents on this website.