East Rutherford, MT · Bergen County

No notary required

Life-Hazard Use Registration Form

Owners use this annual registration form to provide East Rutherford’s Bureau of Fire Prevention with business, ownership, contact, and building information.

What this form is

This annual registration form is for owners of businesses, occupancies, buildings, structures, or premises required to be inspected under the Uniform Fire Code section cited on the form. It asks for business and ownership details, registered agent and emergency contacts, and information about the property, building construction, utilities, and fire-safety features. The form states that it must be returned within thirty days of receipt.

Who needs it

Owners of businesses, occupancies, buildings, structures, or premises required to be inspected under the Uniform Fire Code should apply annually for registration.

How to submit it

Return the form to the East Rutherford Bureau of Fire Prevention at 312 Grove Street, East Rutherford, NJ 07307. The form states that it must be returned within thirty days of receipt.

About notarization

This document is signed without a notary; it includes no notarized or sworn attachment, so the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Life-Hazard Use Registration Form.

  2. 2

    Complete The Form

    Fill in the business, ownership, contact, and building information requested.

  3. 3

    Review The Form

    Check the completed information and sign and date the form.

  4. 4

    Return The Form

    Return it to the East Rutherford Bureau of Fire Prevention within thirty days of receipt.

Frequently asked questions

Do I need a notary for the Life-Hazard Use Registration Form?
No. This document is signed without a notary; it includes no notarized or sworn attachment, so the signer just signs and dates it.
Who should file this registration form?
Owners of businesses, occupancies, buildings, structures, or premises required to be inspected under the Uniform Fire Code should apply annually.
What information does the form request?
It asks for business and ownership information, contact details, and building information such as construction type, utilities, roof characteristics, and fire-safety features.
How do I submit the Life-Hazard Use Registration Form?
Return it to the East Rutherford Bureau of Fire Prevention, 312 Grove Street, East Rutherford, NJ 07307. The form states it must be returned within thirty days of receipt.

Need something notarized?

This Life-Hazard Use Registration Form doesn’t need a notary — but if you have another East Rutherford form that does, a commissioned online notary can help.