{[CNAME]}
{[DEP]}
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
609-347-5315
acnj.gov
Choose carefully from the following license types.
* Do NOT continue until you have selected the correct License Type.
Is there a Registered Agent or Manager? *
If "Yes", enter the details in the "Registered Agent/Manager" tab.
Mandatory Questions
Application & License Type
{[PNAME]}
Is this an Initial or Renewal application? *
Has anyone named in this application ever been convicted of any crime in this State or any other State? *
If "Yes", enter the details in the "Convictions" tab.
Previous License #, if known
  • General
  • Registered Agent/Manager
  • Convictions
  • License
  • Shareholders
  • Insurance
  • Employees
  • Amusement Rides
  • Cannabis
  • Hot Dog Carts
  • Jitneys
  • Limousines
  • Limousine Drivers
  • Rolling Chairs
  • Single Games
  • Taxi Drivers
  • Taxis
  • Tow Trucks
  • Tram Cars
  • Vending Machines
  • Vendors
  • Requirements
  • Fees
  • Certification
State *
Duration
State Tax ID #
Contact Mobile Phone #
Business Details
Business Street Address *
Contact Email *
Business Name *
Suite, Building #, etc.
City *
Is this business eligible to be exempt from license fees? (Example: for 501(c)(3) organizations)
Qualifier
Business Information
Exemption Eligibility
Block
ZIP *
Days and Hours of Operation *
Is this a Home Business? *
# of Employees
State
Opt out of email notifications regarding events happening in Atlantic City
Is the Mailing address for the Business the same as the Location above? *
Email
If "Yes", please explain.
Preferred Contact Method
City
Annual Sales
Are the Premises Owned or Leased? *
Is the Annual Sales an estimated amount?
Email *
Alternate Contact
Business Fax #
Maximum Occupancy
Business Description *
Business Phone # *
Phone #
Lot
Sq. Feet Occupied
Minority Classification
Mobile Phone #
Address *
Contact Name *
DBA (Doing Business As) Name
Ownership Type *
Full Name *
ZIP
Name
Business Location
Business Mailing Address
Federal Tax ID # *
Home Phone #
Preferred Correspondence Method
Business Owner Information
Name *
State *
City *
Address *
ZIP *
Enter the Registered Agent/Manager information.
# Convictions
Provide information for any person named in this application convicted of any crime in the State of New Jersey or any other state.
(Based on the License Type selected, complete any additional required information shown below.)
# Shareholders
Provide information for each owner, partner, corporate officer and major shareholder.
Provide details regarding all applicable insurance coverage information.
Provide information for each individual employed at the Business.
# Amusement Rides
Provide details for every Amusement Ride registered under the business.
Provide details for every Cannabis Business registered under the business.
# Hot Dog Carts
Provide details for every Hot Dog Cart registered under the business.
Provide details for every Jitney registered under the business. (Max 2)
# Jitneys
# Limousines
Provide details for every Limousine registered under the business.
# Limo Drivers
Provide details for every Limousine Driver registered under the business.
# Rolling Chairs
Provide details for every Rolling Chair registered under the business.
# Single Games
# Taxi Drivers
Provide details for every Taxi Driver registered under the business.
# Taxis
Medallion Number
Provide details for every Taxi registered under the business.
# Tow Trucks *
Provide details for every Tow Truck registered under the business.
Provide details for every Tram Car registered under the business.
# Tram Cars
Provide details for every Vending Machine registered under the business.
# Vending Machines
Provide information for each vendor participating.
# Vendors

Based on the License Type selected, additional documentation or prior approvals must be provided with this application before it can be reviewed. You may attach electronic copy(s) to this application. This additional documentation must be provided in order for this license to be processed.

Click "Select files..." below to add all required supporting documents.

Note: additional fees may be required. You will be contacted via email with an invoice of the fee breakdown.
TOTAL DUE
Type Full Name :
Sign With Hand
Agree to Terms

By submitting this application, I certify that statements made in this application are true and inclusive to the best of my knowledge. I am aware that if any of the foregoing statements made by me are willfully false, I am subject to punishment. I am aware the City of Atlantic City, NJ reserves the right to examine supporting documentation and information provided herein.

Your signature constitutes an agreement between yourself and the City of Atlantic City, for the purpose of, but not limited to, the insurance requirements detailed in the City Code of the City of Atlantic City as it pertains to your license.

Certification