Application Type
# of Ice Cream Trucks
Application Information
Permit Type
# of Peddlers
{[PNAME]}
# of Lunch Trucks
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
https://bergenfieldnj.gov/
  • Applicant Information
  • References & Records
  • Business Information
  • Fees & Certification
Driver's License #
Place of Birth
Social Security #
Age
Have you ever applied for a license here before?
First Name
Phone #
Last Name
Is the applicant a Juvenile?
City
Driver's License State
Parent/Guardian Name
State
If yes, what type?
Email
Applicant Information
Address
ZIP
Are you a Veteran or an exempt Fireman?
Driver's License Expiration Date
Date of Birth
If Yes, please provide further details:
References Information
Have you ever been arrested and/or convicted of a crime?
Criminal Records Information
Business Name
Local Manager Name
Purpose of Permit (Articles Sold)
Vehicle Type
Make
Registration State
Business Phone #
Address
Plate #
Registration #
ZIP
Vehicle Information
Year
City
Business Information
Model
State
Type Full Name :
Sign With Hand
Signature
License Type Fee
Peddling, hawking, or vending (per person) — each consecutive thirty-day period $100.00
Lunch wagon and ice cream truck — one-year period $100.00
Required Attachments
  • (2) Passport-type photos
  • Copy of ID (Driver's License/Passport)
  • Background Check: All applicants must submit to a background check to ensure compliance with Borough regulations and safety standards. The background check must be successfully cleared before permit issuance. The Authorization to Release Information form is required and must be submitted at the time of application.
  • Authorization to Release Information
Total Amount Due
Fees
Certification
The undersigned certifies that the answers to the questions stated on this application are true and accurate in every particular, to the best of their knowledge.