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New jersey reciprocity application 2026
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- Click ‘Get Form’ to open the New Jersey Reciprocity Application in the editor.
- Begin by entering the 'Name of Licensee' in the designated field. This should be the person or firm proposing to conduct activities within New Jersey.
- Select the type of report you are submitting, such as 'Annual', from the dropdown menu.
- Fill in the 'Address of Licensee' accurately, ensuring all details are correct for correspondence.
- Provide your contact information including 'Licensee Contact and Title', 'Telephone Number', and 'Email'.
- In section 7, specify the activities you will conduct under the general license. Check all applicable boxes such as 'Service Provider' or 'Radiography'.
- List additional work sites if necessary, and complete sections regarding client information and scheduled dates.
- Finally, ensure you complete the certification section by signing and dating it to confirm that all information is true and accurate.
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