Type Full Name :
Sign With Hand
ZIP
Business Name
Policy Term To
Certification
Policy Term From
Seating Capacity
Required Attachments
Name of Driver/Employee
Address
Model
Plate #
Name
Year
Vehicle Borough Inspection Date
Vehicle Details
The fee for this application is:
VIN #
Vehicle Owner Details
Email
Application Fee
Policy #
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
https://bergenfieldnj.gov/
Driver's License #
ZIP
Email
Insurance Company
Signature
Color
Make
City
I hereby furnish the Borough of Bergenfield with the following information with regard to the limousine service I propose to conduct in the Borough. Any person, firm, or corporation that violates any of the provisions of this chapter shall be punishable as provided in Chapter 303, Penalties.
{[PNAME]}
Registration Expiration Date
Phone #
State

Checklist for required documents pursuant to Title 48, Limousine Law:

Owner's License:

  • Evidence of Insurance Policy
  • Copy of Insurance Card for each vehicle
  • Operators/Drivers Photographic Identification as per N.J.S.A 48:16-22.3a (Must be 21 years of age)
  • Copy of Vehicle Registration Card
  • Zoning Letter of Approval (if applicable)
Address
Vehicle to be housed at the following address
Application Type
Business Details
Phone #
City
State