New Jersey Bureau of Securities - New Jersey Division of 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name in the designated fields. Ensure you select the correct title (Dr., Mr., Mrs., Ms.) and fill in your last, first, and middle names accurately.
3. Next, provide your mailing address. Fill in the street or P.O. Box, city, state, and ZIP code as required.
4. Enter your email address and select whether you are an Investment Adviser or Issuer Agent. Remember to use the mailing address on file as it appears on Form U4.
5. Complete your date of birth by selecting the month, day, and year from the dropdown menus provided.
6. Indicate your sex by selecting either Male or Female and provide a daytime telephone number including area code.
7. Fill in your Social Security number and Individual CRD or state registration number as requested.
8. Answer whether you have completed the fingerprinting process by MorphoTrust for the Bureau of Securities. If yes, provide the date of fingerprinting.
9. Disclose any arrests or convictions if applicable. Attach necessary documents such as police reports or letters of reference if needed.
10. Finally, certify that all information is true by signing and dating the form at the bottom before submitting it through our platform.

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