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 to Reactivate an Inactive Business License
You may not practice in the State of New Jersey until your license or certicate has been reactivated.
Please indicate the category of business license which is being applied for:
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)
A nonrefundable application ling fee of $100.00, in the form of a check or money order made out to the State of New Jersey, must be
submitted with this application. In addition to the application ling fee, a $75.00 renewal fee must be included for those entities that
have not previously paid the fee. (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.) Please call the Committee’s ofces at (973) 504-6245 if you are uncertain if you need to pay the renewal fee. The qualier for
your business will be notied of the license fee when the application for a business license is approved.
The Division is precluded by law from disclosing to the public the place of residence of licensees or applicants, without
their consent. You are, however, required to provide an address that may be released to the public in our directories or in
response to other requests (by putting a check in the appropriate box). If you provide your place of residence as your public
address of record, we will assume that you have consented to have that address be disclosed. If you do not consent to the
disclosure of your place of residence, you should provide an address of record other than your place of residence that may be
released to the public. One of your addresses must include 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.
Business name: __________________________________________________________________________________________
Name of company Telephone number (include area code)
__________________________________________________________________________________________
Street City State ZIP code County
N..J. license number: ____________________________ Date license issued: _____________ Date license went inactive: ___________
Mailing: _______________________________________________________________________________________________
Street or P.O. Box City State ZIP code County
24-hour emergency telephone number _________________________________ (please include area code)
Certicate of good Standing (Short Form)
You must attach a current Certicate of Good Standing: Shoprt Form Standing (Authority to do business in N.J.) This can be obtained
by phoning (609) 292-9292. This form must be current and dated no more that one date prior to the application.
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
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
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
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.
Business Qualier
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. The Business Qualier(s) must complete the affadavit enclosed with this application. (Make additional
copies of the afdavit as necessary if your business is using more than one Qualier.)
• Name of licensee who will serve as the Burglar Alarm Business Qualier _________________________________________
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 _________________________________________
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 __________________________, 20 _______
Month Year
__________________________________________
Name of Notary Public (please print)
__________________________________________
Signature of Notary Public
} ss.
Business Qualier
Afx seal here
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signature
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signature
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Afx seal here
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
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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signature
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signature
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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