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Welcome to the Bound Brook, NJ, Action Line
Today is Friday, October 16, 2026.
WARNING! Please do not use this form to report issues of an emergency nature or for conditions requiring an immediate response. If your issue is an emergency, please use the telephone and dial 911.
Registration of Business for Fire Marshal

Bound Brook-Logo

BOROUGH OF BOUND BROOK
230 Hamilton St. Brook, NJ 08805
● 97320 356-0833 ● Fax: (732) 356-8990
www.boundbrook-nj.org

* Information is required.

Office of Fire Prevention
Borough Fire Marshal - Erik Mickelsen
Registration of Business for Fire Marshal
 
The Uniform Fire Code states: The owner of all businesses, occupancies, buildings, structure, or premises required to be inspected under Section 19A.12.1 shall apply annually to the Local Enforcing Agency for a Certificate of Registration upon forms provided by the Fire Official. It shall be a Violation of this Ordinance for any owner to fail to return such forms to the Local enforcing Agency and/or Fire Official within thirty (30) days of receipt. 19A13.2
 
Property Address:
 
Unit # / Block: / Lot: / Zone:
 
Check one:
3
 
Name of Business (DBA):
 
Former Business (DBA):
 
Business email:
 
Business Telephone:
 
Manager Name:
 
Manager Cell:
 
Business Owner Name:
 
Address:
 
City, State, Zip:
 
Cell:
 
Business Manager Name:
 
Address:
 
City, State, Zip:
 
Cell:
 
Please Indicate a Emergency Contact - Kindly add more if necessary:
 
Emergency Contact # Name: / Cell:
 
Property Owner Name:
 
Address:
 
City, State, Zip:
 
Cell:
 
Business Mailing Address:
 
City, State, Zip:
 
Business Type (check one):


8
 
If other is checked.
 
Alarm/Suppression System Information:
 
Describe System:
 
Monitoring Company Name:
 
Phone #:
 
Description of use/Occupancy of this building/business:
 
I hereby acknowledge that I have read this application, that the information given is correct, that I am the owner or duly authorized to act in the owner's behalf, and such hereby agree to comply with the applicable requirements of the Uniform Fire Safety Code as well as any specific conditions imposed by the Fire Official.
 
Applicant Signature
 
Date:
 

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