Fillable Application for a Business License Instructions (State of New Jersey, Dept. of Law & Pub. Safety, Office of the Attorney General)

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Application for a Business License Instructions (State of New Jersey, Dept. of Law & Pub. Safety, Office of the Attorney General)

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New Jersey Ofce of the Attorney General
Division of Consumer Affairs
Fire Alarm, Burglar Alarm and Locksmith Advisory Committee
124 Halsey Street, 6th Floor, Newark, NJ 07102
http://www.njconsumeraffairs.gov/fbl/
Instructions
Application for a Business License
N.J.A.C. 13:31A-2.5, N.J.A.C. 13:31A-2.6, N.J.A.C. 13:31A-2.7, N.J.A.C. 13:31A-2.8
N.J.A.C. 13:31A-3.4, N.J.A.C. 13:31A-3.5, N.J.A.C. 13:31A-3.6, N.J.A.C. 13:31A-3.7
Rules and denitions applicable to Business Licenses may be downloaded from the following Web site:
http://www.nj.gov/lps/ca/adoption/adopt.htm.
Business Licenses will be issued in the following categories:
Burglar Alarm Business (BX) Fire Alarm Business (FX)
Burglar Alarm and Fire Alarm Business (BF) Locksmith Business (LX)
Burglar Alarm and Locksmith Business (BL) Fire Alarm and Locksmith Business (FL)
Burglar Alarm, Fire Alarm and Locksmith Business (AL)
General Information
The nonrefundable application fee of $150.00 must be paid in the form of a check or money order payable to the
STATE OF NEW JERSEY. The application must be neatly printed or typewritten. All sections of the application
must be fully completed before the application can be processed. If the application is not of sufcient size to
furnish the required information, a supplemental sheet of the same size may be enclosed with the application
(please refer to the section for which you have used the supplemental sheet).
Business Qualier
A business must designate a licensee who will serve as the Business Qualier. A Business Qualier must be listed
for each license category in which the business is seeking a license. A licensee may serve as a Business Qualier
for more than one license category provided a license is held in each category. The Business Qualier must
complete an afdavit included in the application. Additional copies of the afdavit may be made if necessary.
Business License Fees
(Do not submit this fee with the application. A license fee letter will be sent to a business once its application
has been approved.)
If licensed in the rst year of the triennial licensing period - $75.00
If licensed in the second year of the triennial licensing period - $50.00
If licensed in the third year of the triennial licensing period - $25.00
Once a business has been licensed, it will be required to provide the names of its employees and the duties
the employees perform. A licensed business also will be asked to designate its employees as supervised or
unsupervised. Applications with regard to employees will be sent to licensed businesses. All employees will
be required to undergo a criminal history background review and obtain photo identication cards.
Mailing Address:
P.O. Box 45042
Newark, NJ 07101
(973) 504-6245
New Jersey Ofce of the Attorney General
Division of Consumer Affairs
Board of Examiners of Electrical Contractors
Fire Alarm, Burglar Alarm and
Locksmith Advisory Committee
124 Halsey Street, 6th Floor, P.O. Box 45042
Newark, New Jersey 07101
(973) 504-6245
Application for a Business License
Application date: _______________________
Month Day Year
Please indicate the category of business license which is being applied for:
Burglar Alarm Business (BX) Burglar Alarm and Fire Alarm Business (BF) Burglar Alarm, Fire Alarm and Locksmith Business (AL)
Fire Alarm Business (FX) Burglar Alarm and Locksmith Business (BL)
Locksmith Business (LX) Fire Alarm and Locksmith Business (FL)
The application ling fee must accompany this application. Only checks or money orders payable to the State of New Jersey will be
accepted. The qualier for your business will be notied of the license fee when the application for a business license is approved.
A nonrefundable application ling fee of $150.00, in the form of a check or money order made out to the State of New Jersey, must be
submitted with this application. (Applicants should understand that if the application ling fee is paid with a personal check, and the
check is returned by the bank due to insufcient funds, the next step in the licensure or certication process will be delayed until the fee
is paid.)
The Committee maintains, as part of its responsibilities, a record of your home address, business address and mailing address. You
may choose which of these addresses will be considered as your “address of record.” If you do not indicate (by putting a check in the
appropriate box) which address should be used as your address of record, your mailing address will be considered to be your address of
record. A post ofce box may be used as your address of record, but only if you provide another address which includes a street, city,
state and ZIP code.
Information that you provide on this application may be subject to public disclosure as required by the Open Public Records Act
(OPRA).
Please print clearly. You must answer all of the questions on this application.
1. Name of business: ________________________________________________________________________________________
2. Trading as:
Individual _____________________________________ Corporation _____________________________________
Limited Liability Company (L.L.C.) ________________ Franchise _______________________________________
Partnership ____________________________________ Other (Explain) __________________________________
Number of individuals employed by the business __________
A copy of the trade name certicate must be attached to this application if the business name is other than that of the licensee, or a
copy of the corporation papers led with the Department of Treasury, Division of Commercial Recording, must be attached.
3. Federal Tax Identication number: ________________________________________
Business: ____________________________________________________________________________________________
Name of company Telephone number (include area code)
___________________________________________________________________________________________
Street City State ZIP code County
Mailing: ___________________________________________________________________________________________
Street or P.O. Box City State ZIP code County
If this application is not being submitted for a corporation, please provide the name and address of each individual, partner, trustee,
receiver, executor or other person in whom ownership will be vested.
a. ________________________________________________________________________________________________________
Name of owner
________________________________________________________________________________________________________
Street address (no post ofce boxes) City State ZIP code
b. ________________________________________________________________________________________________________
Name of owner
________________________________________________________________________________________________________
Street address (no post ofce boxes) City State ZIP code
c. ________________________________________________________________________________________________________
Name of owner
________________________________________________________________________________________________________
Street address (no post ofce boxes) City State ZIP code
d. ________________________________________________________________________________________________________
Name of owner
________________________________________________________________________________________________________
Street address (no post ofce boxes) City State ZIP code
If this application is being submitted for a corporation, please provide the following information.
a. ________________________________________________________________________________________________________
Name of owner
________________________________________________________________________________________________________
Street address (no post ofce boxes) City State ZIP code
b. Date of incorporation and location , if other than New Jersey.
Date: ____________________________ Location: ______________________________________________________________
c. If you are ling for a foreign corporation, is it registered to do business in New Jersey? Yes No
If “Yes,” provide the date of registration in New Jersey: _____________________________________
Business License Holder Requirements (N.J.A.C.13:31A-2.6 and N.J.A.C. 13:31A-3.5)
An alarm and/or locksmith business license holder shall maintain at least one business ofce within the State or le with the Committee
a statement, duly executed and sworn to before a person authorized by the laws of New Jersey to administer oaths, containing a power of
attorney constituting the Committee as the true and lawful attorney of the licensee upon whom all original process in an action or legal
proceedings against the licensee may be served and in which the licensee agrees that the original process that may be served upon the
Committee shall be of the same force and validity as if served upon the licensee and that the authority thereof shall continue in force so
long as the licensee engages in the burglar alarm, re alarm or locksmith business in the State.
If your business is not physically located in the State of New Jersey, please complete the Power of Attorney form included with the application.
Businesses must maintain an emergency service number attended to on a 24-hour basis and respond appropriately to emergencies on a
24-hour basis when engaged in the burglar alarm or re alarm business or in the provision of electronic security systems. For purposes
of this section “attended to” means that the main business telephone number or another telephone number designated and advertised by
the business as an emergency service telephone number is answered on a 24-hour per day basis.
Emergency service telephone number (please include area code) _______________________________________
“Business Qualier” means a licensee who authorizes the holder of a business license to provide re alarm, burglar alarm, electronic
security system or locksmithing services.
For the specic responsibilities of Business Qualiers, refer to N.J.A.C. 13:31A-2.6 (locksmith business license holder requirements) and
N.J.A.C. 13:31A-2.8 (supervision of locksmith employees) or N.J.A.C. 13:31A-3.5 (burglar alarm or re alarm business license holder
requirements) and N.J.A.C. 13:31A-3.7 (supervision of burglar alarm or re alarm business employees).
List the licensee(s) who will serve as the Business Qualier(s) for your business. A Business Qualier must be licensed in the category
in which the business is seeking a license. A licensee may serve as a Businesss Qualier for more than one license category, provided
a license is held in each category.
• Name of licensee who will serve as the Burglar Alarm Business Qualier _________________________________________
License number: 34BA _________________________________________
• Name of licensee who will serve as the Fire Alarm Business Qualifier _________________________________________
License number: 34FA _________________________________________
• Name of licensee who will serve as the Locksmith Alarm Business Qualier _________________________________________
License number: 34LS _________________________________________
The Business Qualier(s) must complete the afdavit enclosed with this application. (Make additional copies of the afdavit as necessary
if your business is using more than one Qualier.)
Liability Insurance and Surety Bond
The Certicate of Liability Insurance of $1,000,000 for an Alarm Business, and $500,000 for a Locksmith Business, must list the Fire
Alarm, Burglar Alarm and Locksmith Advisory Committee, 124 Halsey Street, Newark, NJ 07102, as the “Certicate Holder.” This is
done so that if the liability insurance expires or is terminated by the insurance carrier, the Committee is notied immediately. It would
then notify the business that it must provide new insurance or lose its business license.
Alarm Business (Burglar Alarm, Fire Alarm or Burglar Alarm and Fire Alarm)
General liability insurance in the amount of $1,000,000; and
Additional insurance coverage payable to the State of New Jersey in the sum of $10,000; or
A surety bond payable to the State of New Jersey in the sum of $10,000.
Locksmith Business
General liability insurance in the amount of $500,000; and
Additional insurance coverage payable to the State of New Jersey in the sum of $10,000; or
A surety bond payable to the State of New Jersey in the sum of $10,000.
Alarm and Locksmith Business
General liability insurance in the amount of $1,000,000; and
Additional insurance coverage payable to State of New Jersey in the sum of $10,000; or
A surety bond payable to the State of New Jersey in the sum of $10,000.
Please attach a copy of your Certicate of Liability Insurance to this application. Also, please have the Surety Bond form enclosed with
this application completed by your bond provider.
Afdavit
This afdavit is to be executed by the applicant before a notary public:
State of:
________________________________________
County of: ______________________________________
I, ______________________________________________, License number: 34BA __________________
License number: 34FA __________________
License number: 34LS __________________
in making this application to the Fire Alarm, Burglar Alarm and Locksmith Advisory Committee for licensure
of ______________________________________________________________________________________________
Name of business
under the provisions of Title 45 of the General Statutes of New Jersey and the Rules of the Fire Alarm, Burglar Alarm and
Locksmith Advisory Committee, swear (or afrm) that all information provided in connection with this application is true to
the best of my knowledge and belief. I understand that any omissions, inaccuracies or failure to make full disclosures may
be deemed sufcient to deny or to withhold renewal of or suspend or revoke a license issued by the Committee.
I further authorize all institutions, employers, agencies and all governmental agencies and instrumentalities (local, state,
federal or foreign) to release any information, les or records requested by the Committee.
___________________________________________
Signature of business qualier
Sworn and subscribed to before me this __________
day of __________________________, _________
Month Year
__________________________________________
Name of Notary Public (please print)
__________________________________________
Signature of Notary Public
} ss.
Business Qualier
Afx seal here
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Afx seal here
Division of Consumer Affairs
Board of Examiners of Electrical Contractors
Fire Alarm, Burglar Alarm & Locksmith Advisory Committee
For Businesses Not Physically Located in the State of New Jersey
Business License Holder Requirements (N.J.A.C.13:31A-2.6 and N.J.A.C. 13:31A-3.5)
An alarm and/or locksmith business license holder shall maintain at least one business ofce within the State or
le with the Committee a statement, duly executed and sworn to before a person authorized by the laws of New
Jersey to administer oaths, containing a power of attorney constituting the Committee as the true and lawful
attorney of the licensee upon whom all original process in an action or legal proceedings against the licensee may
be served and in which the licensee agrees that the original process that may be served upon the Committee shall
be of the same force and validity as if served upon the licensee and that the authority thereof shall continue in
force so long as the licensee engages in the burglar alarm, re alarm or locksmith business in the State.
If your business is not physically located in the State of New Jersey, please complete the Power of Attorney found
below appointing the Fire Alarm, Burglar Alarm and Locksmith Advisory Committee or agent and lawful attorney
upon which all original process in an action or legal proceedings may be served.
Power of Attorney
The undersigned hereby appoints the Fire Alarm, Burglar Alarm and Locksmith Advisory Committee, located
at: 124 Halsey Street, 6th oor, Newark New Jersey, 07102, as agent and lawful attorney of the licensee upon
which all original process in an action or legal proceeding against the licensee may be served.
The undersigned licensee further agrees that the original process that may be served upon the Fire Alarm, Burglar
Alarm and Locksmith Advisory Committee shall be of the same force and validity as if served upon the licensee
and that the authority hereof shall continue in force while the undersigned holds a business licensee issued by the
Fire Alarm, Burglar Alarm and Locksmith Advisory Committee.
______________________________________________
Name of Business
______________________________________________
Signature of Principal of Business
Sworn and subscribed to before me this __________
day of __________________________, _________
Month Year
__________________________________________
Name of Notary Public / Attorney-at-Law (please print)
__________________________________________
Signature of Notary Public / Attonery-at-Law
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New Jersey Ofce of the Attorney General
Division of Consumer Affairs
Board of Examiners of Electrical Contractors
Fire Alarm, Burglar Alarm & Locksmith Advisory Committee
Surety Bond Form
BondNo. _____________________________________
Know all these men by these presents, that we,
________________________________________________________________________________________________________________________
of the City of County of and State of
Principal, and _____________________________________________________________________________________, a Surety company
duly authorized to transact business in the State of New Jersey, as Surety, are held and rmly bound unto the State of New Jersey, its
municipal successors and assigns, in the just and true sum of ($_____________) dollars, lawful money of the United States of America,
to which payment well and truly made, we do hereby bind and obligate ourselves, our and each of our heirs, executors, administrators,
successors and assigns, jointly and severally rmly by these presents.
Sealedwithoursealsanddatedthis________________dayof_________________________________,_____________
The condition of this obligation is such, that
whereas the above bounden __________________________________________________________________________ Principal, has appeared
before the Board of Examiners of Electrical Contractors and the Fire Alarm, Burglar Alarm and Locksmith Advisory Committee, of the State of New
Jersey and has been licensed as a(n) ___________________________________________________under the provisions of “P.L. 1997, c.305,
N.J.S.A. 45:23A et seq.” and amendments thereto and in consideration of the representations made in the application, the said Principal has
been licensed as a(n)_________________________________________________________________________________ in the State of New
Jersey and has agreed to comply with the aforesaid statute and amendments that may be adopted by the Board of Examiners of Electrical
Contractors and the Fire Alarm, Burglar Alarm and Locksmith Advisory Committee.
Now therefore, if the said
Principal shall truly, properly and satisfactorily perform the duties prescribed for alarm contractors and locksmiths under the terms of the
aforesaid act and amendments thereto and comply with the aforesaid statute and amendments that may be made thereto and all rules and
regulations which may have been or may be adopted by the Board of Examiners of Electrical Contractors and the Fire Alarm, Burglar Alarm
and Locksmith Advisory Committee, then this obligation to be void, otherwise to be and remain in full force and virtue.
Thetermofthisbondisfrom__________________________________________________toJanuary31,2023.
It is mutually understood and agreed between all parties hereto that if the Surety shall so elect, this bond may be
cancelled by giving thirty (30) days notice in writing to the said Obligee and this bond shall be deemed cancelled at the expiration of said thirty (30)
days, the said Surety remaining liable for all or any act or acts covered by this bond, which may have been committed by the Principal up to
the date of such cancellation, under the terms, conditions and provisions of this bond.
Signed,sealedanddeliveredinthepresenceof
By __________________________________________
Witness
__________________________________________
Principal
Afxsealhere
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Application for a Business License Instructions (State of New Jersey, Dept. of Law & Pub. Safety, Office of the Attorney General)

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Completed 14 August 2020

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