5.24.040   Application for employee/independent contractor permit.
   A.   In addition to the permittee’s application for a permit, there shall be filed a verified application by each person employed in the establishment who is required by this chapter to be permitted. Each application shall be made with the Columbus board of public works and safety, or its designee, on forms provided by the Clerk-Treasurer. The application shall contain the following information regarding the person:
   1.   Name and aliases;
   2.   Age, and date of birth;
   3.   Social Security number;
   4.   The residence address of the applicant, and the applicant's residence addresses for the past ten years and the dates of residency at each such address;
   5.   A copy of a valid Indiana driver's license or Indiana state identification card;
   6.   A three inch by five inch photo of the applicant;
   7.   Proof of citizenship or legal residence;
   8.   The applicant’s fingerprints taken within the previous sixty days by the Columbus Police Department;
   9.   Employment history for the ten years prior to the date of application, and all massage or similar business history and experience;
   10.   A list of all applicant’s convictions, excluding traffic violations;
   11.   Nature of work performed;
   12.   Name of massage establishment where employed;
   13.   Authorization for the city, its agents and employees to seek information and to conduct an investigation into the truth of the statements set forth in the application.
   B.   The Bartholomew County Board of Health may establish restrictions on the activity of persons permitted under this chapter with respect to communicable diseases.
   C.   The Clerk-Treasurer shall forward the completed application to the Columbus board of public works and safety. The Board of Public Works and safety shall vote on the application and shall either approve or deny the permit. No individual shall be employed by a massage establishment, that is required to be permitted under this chapter, to perform massage and/or massage therapy without a current permit under this section.
(Ord. 6-2012, 2012)