Request to Register Additional Equipment (ADD-ON Form) – Solid Waste
Please complete this form and mail with the required items listed in numbers 1-4 below to:
NJDEP, Licensing & Registration Unit, 9 Ewing Street, Mail Code 09-01, Trenton, NJ 08625-0420
Company Name: ______________________________________________________ NJDEP Registration#:_____________________
Mailing Address: _____________________________________________________________________________________________
Telephone #:__________________Cell #: __________________Fax #: __________________Email: _______________@_________
1.Motor Vehicle Registration - A legible copy of each motor vehicle registration issued in the name of NJDEP Registrant. If the
MVC registered name is not that of the NJDEP Registrant, the registrant must supply items listed in #3. No Passenger/Pass- Comm vehicles are allowed – you must have Commercial or Apportioned MVC registrations.
2.Proof of Insurance - Copy of valid insurance card (or when required MCS-90 or MCS-82) issued in the name of NJDEP Registrant.
3.Lease Agreement and Lease Certification - For each unit identified in this request as LEASED you are required to SUBMIT BOTH a legible copy of the executed Lease Agreement valid for the period that this registration will be in effect (the VIN must be incorporated into the lease, or referenced to in an appendix or attachment); AND the completed original NJDEP Lease Certification available at: http://www.nj.gov/dep/dshw/hwr/regislic/lru.htm
4.For Containers - Write in Quantity needed below. VIN numbers are not required. If containers are leased, see item 3.
VIN:
OVERNIGHT ADDRESS (Where vehicle can be inspected, NO PO Boxes):
VIN:
OVERNIGHT ADDRESS (Where vehicle can be inspected, NO PO Boxes):
VIN:
OVERNIGHT ADDRESS (Where vehicle can be inspected, NO PO Boxes):
Quantity of Container Only Decals Needed:______________
Vehicle Type *
(Circle
Letter)
S
M
T
C
S
M
T
C
S
M
T
C
XX
Leased |
|
|
|
|
YES* OR NO |
DEP USE ONLY |
|
(Circle |
|
|
DECAL # |
|
Answer) |
|
|
|
|
YES
NO
YES
NO
YES
NO
YES OR NO
DO NOT SUBMIT PAYMENT AT THIS TIME
You will be mailed a bill (invoice) automatically from the Department of the Treasury’s Revenue Office. Upon receipt of your
invoice, you can go online at http://www.nj.gov/dep/online/ and pay with e-check, credit card or mail payment directly to REVENUE at the address listed on the invoice. NJDEP will then mail your decals.
|
*Vehicle Type |
Amount you will |
Amount you will |
|
be billed |
be billed |
|
USE LETTER |
|
5/1/13-4/30/14 |
5/1/14-4/30/15 |
|
|
|
Single Unit (S) |
$100 |
$50 |
|
Cab (M) |
$40 |
$20 |
|
Trailer (T) |
$60 |
$30 |
|
Container (C) |
$60 |
$30 |
|
Cab Card Replacement |
$10 |
$10 |
CERTIFICATION: I hereby certify that the foregoing statements are true and I am aware that if any of the foregoing statements made by me are willfully false, I am subject to punishment which may take the form of monetary penalties or revocation. I will notify the Department, in writing, of any changes to the information within this registration statement within thirty days. Furthermore, I certify that I am responsible for providing insurance for any leased equipment for public liability and environmental restoration for any equipment that the Lessor has registered with the Department of Environmental Protection to transport solid and/or hazardous waste, whether it is owned or leased. I authorize the New Jersey Department of Environmental Protection to confirm liability coverage with my insurance company. I further certify my company has the proper authority to operate on the public highways.
_____________________ |
_____________________ |
_____________________ |
_____________________ |
Printed Name |
Signature |
Title |
Date Signed |
|
|
|
|
MANDATORY
PROOF OF INSURANCE AND AUTHORITY TO OPERATE
Registered Non-Government NJDEP Transporters must have the authority to operate as a transporter on the public highways and meet any applicable State or Federal Insurance requirements. In addition, pursuant to N.J.A.C. 7:26.3.2(l) and N.J.A.C. 7:26G-7.2(b)7, permittees, licensees and exempt transporters shall, for purposes of solid waste and hazardous activities respectively and to the extent provided for under New Jersey law, be responsible for the actions and omissions of their lessors and their vehicle operators.
Provide a copy of your MCS-90 or MCS-82 (listing your company with vehicle information), or a Certificate of Insurance (listing your company as insured with the vehicle info or the phrase, "any vehicle").
Pursuant to N.J.A.C. 7:26G-7.2(a)2i proof of compliance with the minimum financial responsibility requirements covering public liabilities, property damage and environmental damage set out in 49 C.F.R. Part 387
Pursuant to N.J.A.C. 7:26 3.2(a)6, registered Transporters must comply with NJMVC rules and regulations.
NOTE: Insurance cards or certificates of insurance will only be accepted from “intrastate” only, transporters.
Additional Information & Guidance for Acceptable Proof of Insurance:
The Federal Motor Carrier Safety Administration (FMSCA) has web sites to provide guidance in regards to minimum levels of
financial responsibility for motor carriers. Their home page can is located at: http://www.fmcsa.dot.gov/
For specific motor carrier questions you can contact the FMSCA at:
http://www.fmcsa.dot.gov/about/contact/who-to-contact/contactus.htm
http://www.fmcsa.dot.gov/about/contact/offices/displayfieldroster.asp
For Hazardous Waste and Interstate Solid Waste Transporters
Question: Is the financial responsibility requirement met when an owner-operator (lessor) provides the motor carrier (lessee) a copy of the policy and Form MCS-90 where the carrier is named as an additional insured to the policy (Form MCS-90)? Answer: Guidance: No. The motor carrier has the responsibility to obtain the proper financial responsibility levels. http://www.fmcsa.dot.gov/rules-regulations/administration/fmcsr/fmcsrruletext.asp?chunkKey=0901633480023256
Question: What is the difference between interstate commerce and intrastate commerce?
Answer: Interstate commerce is trade, traffic, or transportation involving the crossing of a State boundary. Either the vehicle, its passengers, or cargo must cross a State boundary, or there must be the intent to cross a State boundary to be considered an interstate carrier. Intrastate commerce is trade, traffic, or transportation within a single State.
http://www.fmcsa.dot.gov/about/other/faq/faqs.asp#name2
This material is abbreviated and being supplied for informational purposes only. You are still obliged to exercise due diligence and are responsible to meet any and all applicable rules and regulations of the appropriate governmental agencies. For example as a registered FMCSA Motor Carrier, leases supplied to the NJDEP may also be subject to Federal Leasing requirements under 49 CFR Part 376.
As a NJDEP Registered Transporter you are responsible for the actions and omissions of all vehicles operated under your exclusive use, possession, and control. Insurance to protect the public and provide for environmental restoration in the event of an accident is required under New Jersey regulations.
Be advised that the New Jersey Department of Environmental Protection may contact your insurance company to confirm liability coverage.
