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{[CITY]}, {[STATE]} {[ZIP]}
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Township of Verona Official Website

By signing where indicated*, I attest that I have read Ordinance 2023-06 of the Township of Verona and hereby certify that all information contained herein is true and accurate.

State

Tree Contractor
Registration

ZIP

Registration Fee

*Owner Signature

D/B/A (If applicable)

Contractor Company Name

Cell Phone #

Fees

Certification

NJ Home Improvement Contr. License #

# of Trucks/Vehicles in Company Fleet

NJ Board of Tree Experts Registration #

Attachments

Contractor Information

Business Phone #

Please attach the following:

Certificate of Insurance Coverage (minimum) ($2,000,000 property damage and bodily injury insurance per incident).
Automobile insurance per incident ($300,000).
Workers Compensation Form.

Pay By Credit Card

NJ LTE/LTCO Certification #

In order to receive your license, you must first pay the Application Fee.

If you'd like to pay now by Credit Card, click the Submit & Pay Now button below.

Address

Owner(s) Name(s)

If you need to make your payment by mail or in person, our office is located at:

Township of Verona
Bloomfield Ave
Verona, NJ 07044

City

Name of LTE/LTCO Certificate Holder