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State of New Jersey Department of Environmental Protection
State of New Jersey Department of Environmental Protection
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State of New Jersey
Division of Law Environmental Enforcement
A-901 Unit - Phone (609) 292-6018

Electronic copies of Registration Forms

These forms were revised March 2018
Acrobat Reader is required to view and print these files:
You may download a freeware version of Adobe Acrobat here:. 

You may order NJ Division of Law Environmental Enforcement Finger print cards online here:
IMPORTANT MESSAGE: Finger print cards should only be requested for individuals who work or reside outside
the state of New Jersey. Those who work or reside in the state of New Jersey do not need to request finger print cards.

Order finger print cards online here
   

Form Name

MS Word PDF
Notice of Surrender
N/A

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NEW APPLICATION
INSTRUCTIONS AND EXPLANATION - for filling out the A-901 the forms for the year.
N/A

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BUSINESS CONCERN DISCLOSURE STATEMENT

Microsoft Word icon

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PERSONAL HISTORY DISCLOSURE STATEMENT

Microsoft Word icon

Adobe pdf icon 

SECOND LEVEL BUSINESS CONCERN DISCLOSURE STATEMENT.

Microsoft Word icon

Adobe pdf icon

RENEWAL
2018 ANNUAL UPDATE - Business Concern Disclosure Statement
N/A

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2018 SECOND LEVEL ANNUAL UPDATE -  Second Level Business Concern Disclosure Statement
N/A
Adobe pdf icon
LESSORS
BUSINESS CONCERN DISCLOSURE STATEMENT - For Lessors

Microsoft Word icon

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Last Updated: January 12, 2018