Uniform Certification Service

I understand that it is my responsibility to ensure that the business linked with this account is properly registered with the State of New Jersey. I also understand that the State of New Jersey may verify my application and, if it is found that any information relative to the same is inaccurate, the State of New Jersey may void the application.

I agree with the above statement.

• Business Name *
  Enter the first four characters of your business name or trade name. If the business name is less than 4 characters, finish the field with hyphens (-). If your business has punctuation within the first 4 characters of its name, DO include the punctuation. DO NOT include spaces when entering your business name.
• State Tax/Employer ID Number or Social Security Number *
  (The number you used to register for taxes. This will typically be your Employer Identification Number. Please enter only numeric values, no hyphens or special characters.)