The State of New Jersey
NJ Department of Banking and Insurance

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Industry Forms and Applications
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Banking Forms/Applications Insurance Forms and Applications Real Estate Applications and Forms
Banking Forms and Applications
Licensing:   Banking Licensing - More information   Banking Online Licensing Services
NJ Residential Mortgage Lending Act Nationwide Mortgage Licensing System
New Licensure under RMLA through NMLS > Fingerprinting Process
In/Out of State Agreement on Location of Records
Consumer Lender/Sales Finance > Fingerprinting Process
Pawnbroker > Fingerprinting Process
Motor Vehicle Installment Seller
Home Repair Contractor/Home Repair Salesperson
Home Financing Agency
Insurance Premium Finance Company
Check Casher > Fingerprinting Process
Money Transmitter/ Foreign Money Transmitter > Fingerprinting Process
Debt Adjuster
High Cost Home Loan Credit Counselor > Instructions/Application/Personal Certification (PDF)

Depositories:   Depositories - More information
Expedited Application Regular Application Real Property Transaction (Form 114)
Amendments to Certificate of Incorporation
Statements of Interest
  • N.J.A.C. 3:7-5.1 et seq. on content and filing of Statements of Interest by directors and executive officers of banks
  • SI-1 (for reporting a relationship with a business enterprise that DOES NOT have a relationship with the bank)
  • SI-2 (for reporting a relationship with a business enterprise that DOES have a relationship with the bank)

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Insurance Forms and Applications
Producer Licensing:   Producer Licensing - More information
Producer Education:   Producer Education - More information
Insurance Companies:   Insurance Companies - More information

HINT Enrollment

Sample Notices for Withdrawals and Block Non-Renewals

Managed Care:   Managed Care - More information
HMO Application -The application has been revised. For more information, please contact a Valuation Bureau Health Care Consultant.) Selective Contracting Arrangements (SCA)

Dental Plan Organizations (DPO) and Dental Service Corporations (DSC)

Workers’ Compensation Managed Care Organization (WCMCO)

Organized Delivery Systems (ODS)


  • Application for licensing (PDF) - To be completed by entities that will be compensated on a basis that entails the assumption of financial risk, as defined at N.J.A.C. 11:22-4.2.

Annuities:   Annuities - More information
Charitable Gift Annuities
Taxes & Assessments
Risk Retention Groups/Purchasing Groups   Risk Retention Groups/Purchasing Groups

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Real Estate Forms and Applications
Licensing:   Real Estate Licensing - More information   Real Estate Online Licensing Services
General Information
Branch Office
Reinstatement/Transfer or Change of Name
Change of Address/Office Closing Affidavits
Irrevocable Consent to Service of Process
Change of Escrow,Trust and/or General Business Account
Continuing Education
Salesperson Referral Licensing
License Transfers/Terminations/Certifications/History
Waivers/Experience Report
  • Waiver of Education Criteria for Salesperson - PDF

  • Waiver of Education and/or Experience Criteria for Broker - Fillable MS Word

  • Experience Report for Broker Applicant (NJ Applicants Only) - Fillable MS Word
Real Estate Schools/Instructors:   Real Estate Education - More information
Sub-Divided Land Sales:  
Sub-Divided Land Sales - More information
Forms to be used for filing a Registration under the New Jersey Real Estate Sales Full Disclosure Act, N.J.S.A. 45:15-16.27, et. seq.
Forms to be used for filing a Registration under the New Jersey Real Estate Timeshare Act, N.J.S.A. 45:15-16.50, et. seq.

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OPRA is a state law that was enacted to give the public greater access to government records maintained by public agencies in New Jersey.
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State of New Jersey
New Jersey Department of Banking and Insurance