Bloomingdale, MT · Passaic County

No notary required

Business Insurance Registration Form

Bloomingdale property owners or businesses use this form to register business or rental property information and provide insurance coverage details to the Borough.

What this form is

The form collects contact information, taxpayer and trade names, the business or rental address, and insurance coverage details for registration with the Borough of Bloomingdale. It includes a $20 registration fee and insurance coverage options with minimum amounts shown. Return the completed form to the Municipal Clerk using the contact details printed on the form.

Who needs it

Property owners or businesses registering a business or rental address in Bloomingdale should complete this form.

How to submit it

Return the form to Breeanna Smith, Municipal Clerk, at 101 Hamburg Turnpike, Bloomingdale, NJ 07403, or email it to [email protected]. The form lists a $20 registration fee.

About notarization

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

How to submit this form

  1. 1

    Download The Form

    Download the Business Insurance Registration Form.

  2. 2

    Complete The Form

    Fill in contact information, property or business details, and insurance coverage information.

  3. 3

    Review The Fee

    Note the $20 registration fee listed on the form.

  4. 4

    Submit To The Borough

    Return the completed form to the Municipal Clerk by email or at the address printed on the form.

Frequently asked questions

Who uses the Business Insurance Registration Form?
Property owners or businesses use the form to provide contact, property, taxpayer, trade name, and insurance coverage information for registration.
What fee does the form list?
The form lists a registration fee of $20.
Do I need a notary for the Business Insurance Registration Form?
No. This form has no notary block or notarized attachment; the signer just signs and dates it.
How do I submit the Business Insurance Registration Form?
Return it to the Municipal Clerk at 101 Hamburg Turnpike, Bloomingdale, NJ 07403, or email it to [email protected].

Need something notarized?

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