Type Full Name :
Sign With Hand
Board of Health
360 Elkwood Ave
New Providence, NJ 07974
Phone: (908) 665-2167
Fax: (908) 665-9272
Email
Name
Application Type
Position
State
Address
City
Establishment Details
Category
ZIP
Pay By Credit Card
or
Borough of
New Providence
Phone #
I certify that the information stated on this application is true and complete to the best of my knowledge and I understand that any willful, false statements are cause for rejections of this application.

It is further understood that this license is granted only to the ownership listed on this application for the period stated.

I understand that any change in the information in this application, any alternations or additions, must be approved by the Board of Health to such action. The Board of Health must be notified of incidents causing interruption of operation.

Fax
Mailing Address
ZIP
City
Retail Food Establishment Owner Details
Category Fees
Mobile Food Vendor Board of Health permit $232.00
Establishments selling pre-packaged food only (no food preparation and no seating) $86.00
Food Stores and Establishments selling or serving food – (other than restaurants)
9,999 square feet or less $145.00
10,000 square feet or less $434.00
Restaurants
49 Seats or Less $154.00
50 Seats or More $434.00
Pay Later
Email
Name
Square Feet
In order to receive your License, you must first pay the above Application Fee.

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

*A late fee of $53.00 per month will be charged if not paid by January 31 of the licensing year*
# of Seats
Mailing City, State, ZIP
Fee Schedule
Amount Due
Address
Certification
Attachments
Establishment Onsite Contact Details
Corporation/Owner Name
Applicant Signature
Phone #
State
Phone #
If you need to make your payment by mail or in person, our office is located at:

Borough of New Providence
360 Elkwood Ave
New Providence, NJ 07974

Attach the below doumentation (If Applicable):
  • Municipal Mobile Vendor Permit
  • Massage Therapist Permit with the Board of Health
{[PNAME]} Application
Type the street number and name to select the Establishment Address