Middletown, MT · Monmouth County
Pool License Application
Public pool and spa owners use this application to request a Middletown permit to operate and provide facility, operator, staffing, and safety information.
What this form is
The Middletown Township Health Department application is for a permit to operate a public swimming pool or spa. The instructions say it is due June 1 each year and list fees of $225 per pool and $125 per spa. It asks for facility and owner details, operating information, trained pool operator and lifeguard information, and required supporting documents, including the CB-20 form and bonding and grounding certificate.
Who needs it
Owners of public swimming pools or spas in Middletown should complete the application and provide the listed documents to request an operating permit.
How to submit it
Mail the entire packet to the Middletown Township Health Department, 1 Kings Highway, Middletown, New Jersey 07748. Include a check or money order payable to Township of Middletown.
About notarization
This application is signed without a notary; the owner or trained pool operator signs and dates it, and the document does not say any attachment must be notarized.
How to submit this form
- 1
Download The Application
Download the Pool License Application packet.
- 2
Complete And Sign
Fill in the facility, owner, operator, staffing, and operating details, then sign and date the application.
- 3
Gather The Listed Documents
Include the supporting items identified in the application checklist, such as the CB-20 form and bonding and grounding certificate.
- 4
Mail The Packet
Mail the entire packet and payment to the Middletown Township Health Department at 1 Kings Highway, Middletown, New Jersey 07748.
Frequently asked questions
- Do I need a notary for the Pool License Application?
- No. The application does not require notarization; the owner or trained pool operator signs and dates it. The document does not say any attachment must be notarized.
- How do I submit the Pool License Application?
- Mail the entire packet to the Middletown Township Health Department, 1 Kings Highway, Middletown, New Jersey 07748. Include payment by check or money order payable to Township of Middletown.
- What attachments are listed for the pool license application?
- The checklist lists a CB-20 form, bonding and grounding certificate, public bathing facilities checklist, trained pool operator certificate, pool water test results, electrical inspection, and lifeguard certificates.
- What fee does the application list?
- The instructions list a fee of $225 per pool and $125 per spa, payable by check or money order to Township of Middletown.
Need something notarized?
This Pool License Application doesn’t need a notary — but if you have another Middletown form that does, a commissioned online notary can help.