Fillable Proper Procedures for Business Permit Change (State of New Jersey, Dept. of Law & Pub. Safety, Office of the Attorney General)

Fill Online, Printable, Fillable, Blank Proper Procedures for Business Permit Change (State of New Jersey, Dept. of Law & Pub. Safety, Office of the Attorney General) Form

Use Fill to complete blank online STATE OF NEW JERSEY, DEPT. OF LAW & PUB. SAFETY, OFFICE OF THE ATTORNEY GENERAL (NJ) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Proper Procedures for Business Permit Change (State of New Jersey, Dept. of Law & Pub. Safety, Office of the Attorney General)

On average this form takes 26 minutes to complete

The Proper Procedures for Business Permit Change (State of New Jersey, Dept. of Law & Pub. Safety, Office of the Attorney General) form is 7 pages long and contains:

  • 7 signatures
  • 17 check-boxes
  • 69 other fields

Country of origin: US
File type: PDF

U.S.A. forms for State of New Jersey, Dept. of Law & Pub. Safety, Office of the Attorney General

BROWSE STATE OF NEW JERSEY, DEPT. OF LAW & PUB. SAFETY, OFFICE OF THE ATTORNEY GENERAL (NJ) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
New Jersey Ofce of the Attorney General
Division of Consumer Affairs
Board of Examiners of Electrical Contractors
124 Halsey Street, 6th Floor, P.O. Box 45006
Newark, New Jersey 07101
(973) 504-6410
Proper Procedures for Business Permit Change
Board approval of business permit application depends upon:
• Properlycompletedbusinesspermitapplicationaccompaniedbyappropriatefee.
• Properlycompletedpressuresealapplicationaccompaniedbyappropriatefee.
• SuretybondinproperbusinessorrmnamewithtermsthatexpireMarch31,2021.
ApplicationforBusiness Permit Changeisonlyrequiredifachangeisbeingmadetothename,tradestatusorqualifying
licenseeofabusinessforwhichanactivestatusBusinessPermitisalreadyinplace.AnewapplicationforInitialBusiness
PermitisrequiredifaBusinessPermitpreviouslyissuedisinexpiredstatusformorethanthree(3)years(evenifachange
isbeingmadetothename,tradestatusorqualifyinglicenseeofthatbusiness).ContacttheBoardofceforBusinessPermit
reactivationiftheBusinessPermithasbeenexpiredforlessthanthree(3)years.
Toensureexpeditiousapproval,properly executed Business Permit Change applications must be received at the Board
ofce ten (10) business days in advance of the next scheduled monthly meetingoftheBoardofExaminersofElectrical
Contractors.Scheduledmeetingdatesmaybefoundviathelinkentitled“Meetings”onthehomepageoftheBoard’sWebSiteat
www.njconsumeraffairs.gov/elec/Pages/default.aspx.
Business Permit Change Applicationmustbecompletedandneatlytypewrittenorprinted.ElectricalContractormustsign
applicationunderitemnumber5.
Afdavit"A"mustbeproperlyexecutedandnotarizedunderitemnumber11.IfpersonexecutingAfdavit"A"isotherthan
thelicensedelectricalcontractor,thenelectricalcontractormustsignandexecuteAfdavit"B".
Paragraphtitled"AFFIDAVIT"shouldbethoroughlyreadandunderstood.
Surety Bondmustbesignedbytheelectricalcontractorwhere"Principal"isdesignatedandbondnumbermustbeinserted
whereindicatedatthetopoftheform.
• BoththePrincipalandWitnessmustsignthebondwhereindicated.
Certicate of general liability insurance in the minimum amount of $300,000 or bank letter of credit in the minimum
amount of $300,000 must be enclosed.
• BeawarethattheCerticateofGeneralLiabilityInsurancemustlisttheBoardofExaminersofElectricalContractorsas
thecerticateholder.
Federal Tax Identication NumbermustbeprovidedtotheBoardofce.
Additional Notarized Afdavit mustbeprovidedbytheelectricalcontractorstatingthatallelectricalworkcontractedbythe
licenseeundertheformerbusinessnameiscompletedandinspected,orwillbecompletedandinspected,underthenewname.
Applicant Must Enclose
For Individual Proprietorship:
• Acopyofthetrade-namecerticateledwiththeCountyCourtHouseinthecountywherebusinessislocated.
For Corporations:
• AcopyofincorporationpapersledwiththeStateofNewJerseyDivisionofRevenue/CommercialRecording.
• Ifitismorethanoneyearfromthedatetheincorporationpaperswereled,pleasesubmitaCerticateofGoodStanding
inlieuofincorporationpapersledwiththeStateofNewJersey.
• IfassistanceisneededinobtainingaCerticateofGoodStanding,youmaycallStateofNewJersey,DivisionofRevenue/
CommercialRecordingat(609)633-8296.
Out-of-State Corporation
• MustprovideacopyofitsincorporationpapersplusaCerticateofAuthorityToDoBusinessinNewJerseyledwiththe
StateofNewJersey,DivisionofRevenue/CommercialRecording.
• IfitismorethanoneyearfromthedatetheCerticateofAuthorityToDoBusinessinNewJerseywasled,youmust
obtainandsubmitanewCerticateofAuthorityToDoBusinessinNewJersey.
• IfassistanceinobtainingaCerticateofAuthorityisneeded,youmaycontacttheStateofNewJersey,DivisionofRevenue/
CommercialRecordingat(609)292-9292.
All Fee PaymentsmustbemadepayabletotheStateofNewJersey.Pleasesendseparatechecks/moneyordersforeachpayment.
Return of Pressure Seals
PressureSealsmustbereturnedtotheBoardofExaminersofElectricalContractorswhen:
• Thelicenseenolongerholdsapositionasaqualifyinglicenseeforthebusinessforwhichthepressuresealwasissued.
• Thelicensee'semploymenthasbeenterminatedorthelicenseehasresignedfromthebusinessentityforwhichthepressure
sealwasissued.
• AlicenseereceivesconrmationthatanewBusinessPermithasbeenissuedfollowingsubmissionofanapplicationfora
BusinessPermitChange.
• AssoonasaBusinessPermitorprerequisiteElectricalContractor’slicenseentersInactiveorExpiredstatus.
• AnytimeGeneralLiabilityInsuranceorSuretyBondisallowedtolapseoriscancelledforanyreason.
• Ifapermittedbusinessceasesbusinessoperationsforanyreason.
• WhenrequiredbytheBoardastheresultofdisciplinaryaction.
RefertoN.J.A.C.13:31-3.3foradditionaldetails.
New Jersey Ofce of the Attorney General
Division of Consumer Affairs
Board of Examiners of Electrical Contractors
124 Halsey Street, 6th Floor, P.O. Box 45006
Newark, New Jersey 07101
(973) 504-6410
N.J.A.C 13:31-1.6 Fee Schedule
Business Permit Fee
Permit Issue Date Total Fee Due
April1,2018-March31,2021 $5.00
April1,2019-March31,2021 $0.00
April1,2020-March31,2021 $5.00
Important Note:
Following issuance, all Business Permits have an expiration date of March 31, 2021. The dates/fees above refer to the
date the Business Permit is to take effect.
The current triennial renewal period runs from April 1, 2018 through March 31, 2021. If this Business Permit application
is submitted in the rst year of the current triennial renewal period, the application fee is $5.00. If this application is
submitted during the second year of the triennial renewal period, the fee is $0.00, and if it is submitted in the third year
of the triennial renewal period, the fee is $50.00.
Pleasesendacertiedcheck,postalmoneyorderorexpressmoneyorderpayabletotheStateofNewJerseyandmailitto:
Board of Examiners of Electrical Contractors
P.O.Box45006
Newark,NJ07101
New Jersey Ofce of the Attorney General
Division of Consumer Affairs
Board of Examiners of Electrical Contractors
124 Halsey Street, 6th Floor, P.O. Box 45006
Newark, New Jersey 07101
(973) 504-6410
Application for Business Permit Change
Pleasetypeorprintclearly. Date__________________________________
InformationthatyouprovideonthisapplicationmaybesubjecttopublicdisclosureasrequiredbytheOpenPublicRecordsAct(OPRA).
1. Nameofbusiness_________________________________________________________________________________________
2. Tradingas:
Individual______________________________________ Corporation____________________________________
LimitedLiabilityCompany(L.L.C.)_________________ Franchise______________________________________
Partnership_____________________________________ Other(Explain)_________________________________
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incorporationpapersledwiththeDepartmentoftheTreasury,DivisionofCommercialRecording,mustbeattached.
3. FederalTaxIdenticationNumber:_________________________ Internetaddress:___________________________________
4. Businessaddress:_________________________________________________________________________________________
Streetaddress City State ZIPcode
5. NameandlicensenumberoftheElectricalContractorwhoisseekingthispermit:
_______________________________________________________________________________________________________
Name Licensenumber
SignatureofElectricalContractor
6. Hasthiscompanyeverbeenissuedabusinesspermitunderanyotherlicensenumber? Yes No
If“Yes,”givethelicensenumber:_________________________________
7. Principalplaceofbusiness:_________________________________________________________________________________
Streetaddress City State ZIPcode
Telephonenumber(includeareacode)
8. 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.
_______________________________________________________________________________________________________
Name
ofowner Streetaddress City State ZIPcode
_______________________________________________________________________________________________________
Name
ofowner Streetaddress City State ZIPcode
_______________________________________________________________________________________________________
Name
ofowner Streetaddress City State ZIPcode
_______________________________________________________________________________________________________
Nameofowner Streetaddress City State ZIPcode
Ifthisapplicationisbeingsubmittedforacorporation,pleaseprovidethefollowinginformation.
(a)Whatisthenameandaddressoftheregisteredagentofthecorporation? _________________________________________
___________________________________________________________________________________________________
(b) Whatisthedateofincorporationandthelocation,ifotherthaninNewJersey?____________________________________
(c) Ifyouarelingforaforeigncorporation,isitregisteredtodobusinessinNewJersey? Yes  No
If“Yes,”pleaseprovidethedateofregistrationinNewJersey. ________________________
Providethenamesofalloftheofcersand,inaddition,theownersof10%ormoreofthestock.
(d) President ______________________________________(g) Treasurer__________________________________________
(e) Vice-President__________________________________(h) Others ____________________________________________
(f) Secretary______________________________________ _______________________________________________
9. Please enclose a bond.Inadditiontosuchotherbondsasmayotherwiseberequired,anypersonengagedinthebusinessofelectrical
contractingundertheprovisionsofthisactshallnotundertaketodoanyelectricalworkintheStateofNewJerseyoranypolitical
subdivisionthereofunlessanduntilhe/sheshallhaveenteredintobondinfavoroftheStateofNewJersey,inthesumof$1,000.00,
executedbyasuretycompanyauthorizedtotransactbusinessintheStateofNewJerseyapprovedbytheDepartmentofBankingand
Insurance,andtobeconditionedonthefaithfulperformanceoftheprovisionsofthisact.Theboardshall,byruleandregulation,
providewhoshallbeeligibletoreceivethenancialprotectionaffordedbysaidbond.Theaforesaidbondshallbeforthetermof
36monthsandmustbereneweduponexpirationfortheensuing36months.(Source:L.1962,c.162,§19asamendedbyL.1962,
c.185,§16.)(N.J.S.A. 45:5A-19.)
10. Please enclose a certicate of general liability insurance or a bank letter of credit.EverypersonwhoholdsaBusinessPermit
forelectricalworkpursuanttoP.L.1962,c.162(C.45:5A-1etseq.)shallsecure,maintainandlewiththeboardacerticateof
generalliabilityinsuranceintheminimumamountof$300,000orabankletterofcreditintheminimumamountof$300,000.
Afdavit B (SeeItem11above)
Signed_____________________________________________________
LicensedElectricalContractor
Swornandsubscribedtobeforemethis___________________________
dayof __________________________,__________________________
___________________________________________________________
NameofNotaryPublic(pleaseprint)
___________________________________________________________
SignatureofNotaryPublic
Mycommissionexpires ______________________________________
Afdavit A must be executed on every application.
12. The current triennial renewal period runs fromApril 1, 2018 through March 31, 2021. If this Business Permit application is
submittedintherstyearofthecurrenttriennialrenewalperiod,theapplicationfeeis$150.00.Ifthisapplicationissubmittedduring
thesecondyearofthetriennialrenewalperiod,thefeeis$100.00,andifitissubmittedinthethirdyearofthetriennialrenewalperiod,
thefeeis$50.00.
Pleasesendacertiedcheck,postalmoneyorderorexpressmoneyorderpayabletotheStateofNewJerseyandmailitto:
BoardofExaminersofElectricalContractors
P.O.Box45006
Newark,NJ07101
Corporation Seal (if any)
Notary's Seal
ToNotaryPublic:
Pleasemakesure
thattheperson
takingtheoathhas
readallofItem11.
ToNotaryPublic:
Pleasemakesure
thattheperson
takingtheoathhas
readallofItem11.
Notary's Seal
Afdavit
11.AfdavitA,below,mustbeexecutedbytheowner,orapartner,aslistedinItem2ofthisapplicationorbyaprincipalofceras
listedinItem8ifthebusinessisownedbyacorporation.IfthepersonexecutingAfdavitAisnotalsotheLicensedElectrical
Contractorthen,inaddition,theLicensedElectricalContractormustexecuteAfdavitB.
Each afdavit must be sworn to before a notary public or other authorized ofcer.
Idosolemnlyswearandafrmthattheanswersandstatementsmadeinthisformaretrueandcorrecttothebestofmyknowledge
andbelief.
Afdavit A (SeeItem11above)
___________________________________________________________
NameofBusiness(Ifacorporation,pleasegivetheexactlegaltitle.)
___________________________________________________________
Signatureofownerorofcer(Checktitlebelow)
Owner Partner Trustee Receiver
Lessee Secretary Executorpresident
Swornandsubscribedtobeforemethis___________________________
dayof __________________________,__________________________
___________________________________________________________
NameofNotaryPublic(pleaseprint)
___________________________________________________________
SignatureofNotaryPublic
Mycommissionexpires ______________________________________
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
New Jersey Ofce of the Attorney General
Division of Consumer Affairs
Board of Examiners of Electrical Contractors
124 Halsey Street, 6th Floor, P.O. Box 45006
Newark, New Jersey 07101
(973) 504-6410
IMPORTANT NOTICE! IMPORTANT NOTICE!
Law Requires Every State - Licensed
Electrical Contractor Holding A Business Permit To Secure A
Pressure Seal
PursuanttoN.J.S.A.45:5A-6, theBoardof ExaminersofElectricalContractorsadoptedarule,N.J.A.C. 13:31-3.3,which
requiresthatapocketpressuresealbefurnishedtoeveryState-licensedelectricalcontractorwithaBusinessPermit.Thecost
ofthesealis$25.00andmustbepaidforbytheElectricalContractortowhomitisissued.Acertiedcheckormoneyorder
intheamountof$25.00,payabletoStateofNewJersey,mustbeforwardedtothisofce.
Uponreceiptofthefee,thepressuresealwillbemailedtotheaddressprovidedbythelicenseealongwiththefee.
ThesealshallbeusedexclusivelybytheState-licensedElectricalContractorintheconductofhis/herbusinessandmustbe
impresseduponallapplicationsforelectricalinspections.
NopersonotherthantheElectricalContractortowhomthelicenseandBusinessPermitshallhavebeenissuedbytheBoard
shallhavetherighttousethepressureseal.Anyviolationoftheprovisionshallsubjectrst,thepersonwrongfullyusingsuch;
andsecondly,thelicenseewhowillfullyornegligentlyallowssuchunlicensedandunauthorizedpersontousesaidseal,tosuch
penaltiesgrantedtotheBoardbyN.J.S.A.45:5A-1etseq.
LicensedElectricalContractorswhodonotpossessaBusinessPermitarenotrequiredtosecureapressureseal.
PLEASE TYPE OR PRINT CLEARLY.


__________________________________________
SignatureofLicensee
__________________________________________
PleasePrintNameofLicensee
__________________________________________
PrintNameofCompanyEndorsedbyLicensee
_____________________________________________________________
PrintBusinessAddress-DonotuseaPostOfceBoxNumber

______________(RETURN THIS LETTER WITH THE LICENSEE'S SIGNATURE AND PAYMENT FOR THE SEAL)
LicenseNumber


click to sign
signature
click to edit
Sample Bond
Bond No. __________________________________
Knowallthesemenbythesepresent,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($1,000.00) 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present.
Sealed with our seals and dated this _________________________day of ________________________________________________ ,
Theconditionofthisobligationissuch,that
whereastheabovebounden ____________________________________________________________________________
Principal, hasappeared before theBoard ofExaminers ofElectrical Contractors, of theState of New Jersey and has been licensed as an
electrical contractor underthe provisionsof “P.L. 1997,c.305, N.J.S.A.45:5A-1 et seq.”and amendmentsthereto and in consideration
oftherepresentationsmadeinthe application, the said Principalhasbeen licensed as an electricalcontrator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.
Nowtherefore,ifthesaid
Principalshalltruly,properlyandsatisfactorilyperformthedutiesprescribedforelectricalcontractors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,thenthisobligationtobevoid,otherwisetobeand
remaininfullforceandvirtue.
The term of this bond is from ________________________________________ to __________________________________________.
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
New Jersey Ofce of the Attorney General
Division of Consumer Affairs
Board of Examiners of Electrical Contractors
124 Halsey Street, 6th Floor, P.O. Box 45006
Newark, New Jersey 07101
(973) 504-6410
click to sign
signature
click to edit
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Proper Procedures for Business Permit Change (State of New Jersey, Dept. of Law & Pub. Safety, Office of the Attorney General)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 14 August 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document