NJDEP DSHW - A901 Forms

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State of New Jersey
Division of Law Environmental Enforcement
A-901 Unit - Phone (609) 376-3270
Electronic copies of Registration Forms

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You may order NJ Division of Law Environmental Enforcement Finger print cards online here: IMPORTANT MESSAGE: Finger print cards should only be requested for individuals who work or reside outside the state of New Jersey. Those who work or reside in the state of New Jersey do not need to request finger print cards.

A901 DEBARMENT LIST
Form Name	MS Word	PDF
Notice of Surrender	N/A
SOIL AND FILL RECYCLING INFORMATION
DIRTY DIRT COMPLIANCE ADVISORY - July 8, 2022	N/A
DIRTY DIRT COMPLIANCE ADVISORY - March 16, 2022	N/A
SOIL AND FILL RECYCLING - FREQUENTLY ASKED QUESTIONS (FAQ) - July 6, 2022	N/A
CERTIFICATION FOR THE USE OF NON-RESTRICTED SOIL AND FILL RECYCLABLE MATERIALS	N/A
PL 2019 C 397 (DIRTY DIRT LAW)	N/A
A-901 INFORMATION AND FORMS
INSTRUCTIONS AND EXPLANATION (READ FIRST) - IMPORTANT INFORMATION REGARDING THE A-901 APPLICATION	N/A
Steps to the A-901 Application Process	N/A
FINGERPRINT INSTRUCTIONS	N/A
BUSINESS CONCERN DISCLOSURE STATEMENT	N/A
PERSONAL HISTORY DISCLOSURE STATEMENT	N/A
DISCLOSURE FOR PARENT COMPANY:
BUSINESS CONCERN DISCLOSURE - SECOND LEVEL (REQUIRED FOR PARENT COMPANY - IF APPLICABLE)	N/A
RENEWAL
2025 A-901 Annual Update - Due November 1, 2024	N/A
2025 A-901 Annual Update – Second Level - Due November 1, 2024	N/A
LESSORS
BUSINESS CONCERN DISCLOSURE STATEMENT - For Lessors	N/A
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