Adm 275a form 2026

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The document is an application form for the certification of firms under New Jersey's Underground Storage Tank Certification Program. It outlines the requirements for initial, renewal, and modification applications, including necessary information about the firm, its officers, and associated fees. The form must be notarized and includes a declaration of accuracy under penalty of law.

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Click ‘Get Form’ to open the ADM 275A in the editor.
Begin by entering the Firm Name and Physical Location details, including Street Address, City, State, County, and Zip Code.
If your mailing address differs from the physical location, provide that information in the designated section.
Select the Certification Category by checking the appropriate box for Closure, Tank Testing, or Subsurface Evaluation.
Indicate UST Installation preferences by selecting either Entire UST System or Release Detection Monitoring System ONLY.
Fill in details for Certifying Officers, ensuring they hold a current NJ UST License and sign where indicated.
Complete any additional business office addresses if applicable and calculate total fees based on your selections.
Finally, ensure all fields are filled accurately before submitting. Remember to notarize the form as required.

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