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City of Passaic

Amada D. Curling, City Clerk 330 Passaic Street, Room 103 Passaic, NJ, 07055, US



Hector C. Lora, Mayor

Gary Schaer,
C. President


Council Members:
Jose Garcia
Terrence Love
Thania Melo
Chaim Munk
Salim Y. Patel
Daniel Schwartz

P: 973-365-5584
F: 973-365-0115

Document Signers
    • 1 Applicant

    • 2 Arely Barrera

    • 3 Edward Valentin

    • 4 Luis Guzman

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Passaic, NJ Online Forms
Office Of The City Clerk


FAX: (973)-365-0115 Email: acurling@cityofpassaicnj.gov


By continuing on to complete and sign this form you are acknowledging that you are forgoing a notary and are in fact the owner of said business.


Upon submission you will be prompted to upload a Photo ID.


Al continuar y completar con su firmar este formulario, usted reconoce que usted está renunciando a un notario y es, de hecho, el propietario de dicho negocio


Al completar la aplicacion se le pedirá cargar una identificación con foto.
Please check that you agree before continuing.
I acknowledge that I am forgoing a notary and certifying I am the owner of said business. Reconozco que estoy renunciando a un notario y certifico que soy el propietario de dicho negocio.
Signature HereClick to Sign
11/27/2021Click to Sign
Signature HereArely Barrera Will Sign Here
11/27/2021
Signature HereEdward Valentin Will Sign Here
11/27/2021

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Additional Signatures Required

2 Passport Size Photos Click Here to Upload
A photocopy of your N.J. State Driver's License Click Here to Upload
Receipt from 5 pane Drug Test Click Here to Upload
Report of Physical Examination Click Here to Upload
Submit Proof of insurance - Taxi/ Limo Company's Policy Click Here to Upload
Limo Drivers - Limousine Qualification Certificate Click Here to Upload