Bellmawr, MT · Camden County

No notary required

Fire Safety Registration Form

Owners of possible Life Hazard Use businesses complete and file this form to provide business ownership and location information for fire safety registration.

What this form is

This form registers owners of possible Life Hazard Use businesses and requests information about the business ownership, mailing address, physical location, building, and occupant load. The form states that owners must complete and file it in accordance with the Uniform Fire Safety Act. It also warns that failure to file may result in a penalty of up to $1,000.

Who needs it

Owners of possible Life Hazard Use businesses complete and file this form with ownership, business location, building, and contact information.

How to submit it

Complete and file the form with the New Jersey Department of Community Affairs, Division of Fire Safety, at PO Box 809, Trenton, New Jersey 08625-0809.

About notarization

This document is signed and dated without a notary; the owner or agent completing the form signs and dates the certification.

How to submit this form

  1. 1

    Download The Form

    Download the Fire Safety Registration Form.

  2. 2

    Complete The Form

    Enter the ownership, contact, business location, building, and occupant load information requested.

  3. 3

    Review And Sign

    Certify that the statements are true, then print your name, sign, and date the form.

  4. 4

    File The Form

    Send the completed form to the Division of Fire Safety at the mailing address printed on the form.

Frequently asked questions

Do I need a notary for the Fire Safety Registration Form?
No. The form has a signature and date line for the owner or agent, but no notary block. The signer signs and dates the certification.
Who files the Fire Safety Registration Form?
Owners of possible Life Hazard Use businesses complete and file the form with business ownership and location information.
What information does the form ask for?
It asks for ownership and contact details, the business's physical location, building characteristics, and a certification that the statements are true.
How do I submit the Fire Safety Registration Form?
The form directs owners to file it with the New Jersey Department of Community Affairs, Division of Fire Safety, at PO Box 809, Trenton, New Jersey 08625-0809.

Need something notarized?

This Fire Safety Registration Form doesn’t need a notary — but if you have another Bellmawr form that does, a commissioned online notary can help.