Mahwah, MT · Bergen County
Application For License To Operate A Public Recreational Bathing Facility Year-Round Indoor Pool
This application requests a license for a year-round indoor public recreational bathing facility and is completed by the facility owner or the owner’s authorized agent.
What this form is
Mahwah’s Health Department application is for licensing a year-round indoor public recreational bathing facility for license year 2026. It asks for facility, owner, manager, supervisor, staffing, laboratory, and pool operator information. Applicants must submit recognized certifications and a completed, signed public recreational bathing facilities checklist; a copy of an exemption approval is required if the state has granted the specified waiver.
Who needs it
The owner or an authorized agent of a year-round indoor public recreational bathing facility in Mahwah completes and signs this license application.
How to submit it
Submit it to the Health Department, PO Box 733, Mahwah, NJ 07430; the form lists a $200 fee.
About notarization
This application is signed and dated without a notary; required certifications, the completed checklist, and any applicable waiver approval are attachments, with no notarized step stated.
How to submit this form
- 1
Download The Application
Download the year-round indoor pool license application.
- 2
Complete The Application
Enter facility, owner, manager, supervisor, staffing, laboratory, and pool operator information.
- 3
Gather Required Attachments
Include the required recognized certifications and completed, signed checklist; attach waiver approval if applicable.
- 4
Submit To The Health Department
Submit the application to the Health Department, PO Box 733, Mahwah, NJ 07430. The form lists a $200 fee.
Frequently asked questions
- Do I need a notary for the indoor pool license application?
- No. The application calls for a signature and date, not notarization. Required certifications, a completed checklist, and any applicable waiver approval are attachments.
- How do I submit the indoor pool license application?
- Submit the application to the Health Department, PO Box 733, Mahwah, NJ 07430. The form lists a $200 fee.
- What attachments are required with this application?
- Submit the listed recognized certifications and a fully completed and signed Public Recreational Bathing Facilities checklist. Attach a copy of the exemption approval if the state granted the specified waiver.
Need something notarized?
This Application For License To Operate A Public Recreational Bathing Facility Year-Round Indoor Pool doesn’t need a notary — but if you have another Mahwah form that does, a commissioned online notary can help.