Hackensack, MT · Bergen County

No notary required

Business Owner and Rental Unit Owner Insurance Registry

Business and rental property owners use this registry to annually report ownership details and provide proof of required liability insurance to Hackensack.

What this form is

This registry records information about a business or rental property and documents compliance with Hackensack’s liability insurance requirements. Business and rental unit owners subject to the requirements must register annually with the City Clerk, submitting a completed form and a compliant certificate of insurance. The form asks for owner and property details, unit count, and insurance certificate information.

Who needs it

Business owners and owners of rental units in Hackensack subject to the insurance requirements use this form to register annually with the City Clerk.

How to submit it

File the completed form with the City Clerk along with a copy of the required insurance certificate and a $50 administrative fee. Make the check payable to City of Hackensack.

About notarization

This registry is signed and dated without a notary; it asks for an insurance certificate, but does not say the certificate must be notarized.

How to submit this form

  1. 1

    Download The Registry

    Download the Business Owner and Rental Unit Owner Insurance Registry PDF.

  2. 2

    Complete The Form

    Fill in the owner, contact, business, rental property, and unit information requested.

  3. 3

    Gather The Insurance Certificate

    Include a copy of the compliant certificate of insurance issued by the owner's insurance company.

  4. 4

    Submit To The City Clerk

    File the completed form and certificate with the City Clerk, along with a $50 check payable to City of Hackensack.

Frequently asked questions

Do I need a notary for the Business Owner and Rental Unit Owner Insurance Registry?
No. The registry is signed and dated without a notary. It asks for a compliant insurance certificate, but does not state that the certificate must be notarized.
How do I submit the insurance registry?
File the completed registry with the City Clerk, including a copy of the required insurance certificate and a $50 administrative fee. Make the check payable to City of Hackensack.
Who needs to file this registry?
Business owners and owners of rental units subject to Hackensack’s insurance requirements must register annually with the City and provide a compliant certificate of insurance.
What information does the registry request?
The form requests owner contact details, business and property addresses, block and lot numbers, rental unit information, and an insurance certificate. It also includes fields for payment processing.

Need something notarized?

This Business Owner and Rental Unit Owner Insurance Registry doesn’t need a notary — but if you have another Hackensack form that does, a commissioned online notary can help.