In the realm of business operations, especially those involving direct contact with consumers through telemarketing, the role of regulatory compliance cannot be overstated. This is particularly true in New Jersey, where the Office of the Attorney General, through its Division of Consumer Affairs and the Office of Consumer Protection, mandates a rigorous Telemarketer Registration form. The form serves as a comprehensive dossier for telemarketing entities aiming to operate within the state, requiring an expansive array of information. This includes basic identification and operational details of the telemarketing entity, the disclosure of any alternate names under which the company does business, principal operating addresses, and critical data concerning ownership and managerial staff. It also extends to the specification of the agent for service of process within New Jersey, details about the telemarketing sales calls—including on behalf of other sellers to New Jersey residents—and the operational capacity in terms of simultaneous outgoing calls. Beyond operational data, the form delves into the legal and regulatory history of the applicant, probing for any past denials, cancellations, or revocations of telemarketing registrations or permits by any state or governmental body, involvement in any legal actions related to fraud or deceptive practices, and any convictions under the New Jersey Code of Criminal Justice relevant to telemarketing activities. With the information provided subject to public disclosure under the Open Public Records Act (OPRA), the completion and submission of this form, along with the necessary fees and supporting documentation, become a pivotal step in achieving regulatory compliance and securing the authorization to reach potential customers through telemarketing in New Jersey.
| Question | Answer |
|---|---|
| Form Name | Telemarketer Registration Form |
| Form Length | 5 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 1 min 15 sec |
| Other names | where to send the nj telemarkereter forms, new jersey telemarketer registration, new jersey telemarketer renewal form, new jersey telemarketer registration form |
New Jersey Office of the Attorney General
DIVISION OF CONSUMER AFFAIRS
Ofice of Consumer Protection
Regulated Business Section
124 Halsey Street, 7th Floor, P.O. Box 45028, Newark, NJ 07101
Telemarketer Registration Form
Information that you provide on this application may be subject to public disclosure as required by the Open Public Records Act (OPRA).
Notice:Any changes, additions or deletions to this information must be reported to the Regulated Business Section within 30 days.
Please print clearly. You must answer all of the questions on this application. (Attach additional sheets of paper as necessary, identifying the question to which they provide a response.)
1.Name of telemarketing entity (“applicant”) __________________________________________________
(Include a copy of the iled Certiicate of Authority and/or Certiicate of Incorporation, or trade name registration.)
2.List all other names under which the applicant does business: ____________________________________
_____________________________________________________________________________________
(Include a copy of the Registration of Alternate Name.)
3.Principal address _______________________________________________________________________
Street (no post ofice boxes) |
City |
State |
ZIP code |
Telephone number ___________________________ |
Fax number __________________________ |
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(include area code) |
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(include area code) |
Type of business:
Corporation |
L.L.C. |
Partnership |
Sole proprietor |
Other, please specify ____________________________________
4.Provide the Federal Employer Identiication Number (FEIN): ___________________________________
5.List the name, residence and business street address and business telephone number of each person with an ownership interest of 10 percent or more in the telemarketing business and the percentage of ownership held. If the applicant is a partnership, each member of the partnership must be listed.
a. __________________________________________________________________________________
Name
__________________________________________________________________________________
Business street addressCityStateZIP code
__________________________________________________________________________________
Home street addressCityStateZIP code
_______________________________
Business telephone number (include area code)
__________________________________________________________________________________
Other names by which known or previously known |
Title |
Percentage of ownership |
b. |
__________________________________________________________________________________ |
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Name |
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Business street address |
City |
State |
ZIP code |
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Home street address |
City |
State |
ZIP code |
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_______________________________ |
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Business telephone number (include area code) |
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__________________________________________________________________________________ |
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Other names by which known or previously known |
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Title |
Percentage of ownership |
c. |
__________________________________________________________________________________ |
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Name |
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Business street address |
City |
State |
ZIP code |
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Home street address |
City |
State |
ZIP code |
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_______________________________ |
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Business telephone number (include area code) |
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__________________________________________________________________________________ |
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Other names by which known or previously known |
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Title |
Percentage of ownership |
6.Provide the name and address of an agent in the State of New Jersey for service of process:
_____________________________________________________________________________________
Name
_____________________________________________________________________________________
Street address (no post ofice boxes) |
City |
State |
ZIP code |
_______________________________ |
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Telephone number (include area code)
7.If the applicant is making telemarketing sales calls to New Jersey residents on behalf of the applicant, check here .
8.List the name(s) and address(es) of any other seller for whom the applicant will make telemarketing sales calls to New Jersey residents.
a. |
__________________________________________________________________________________ |
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Seller’s name |
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__________________________________________________________________________________ |
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Street address (no post ofice boxes) |
City |
State |
ZIP code |
b. |
__________________________________________________________________________________ |
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Seller’s name |
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__________________________________________________________________________________ |
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Street address (no post ofice boxes) |
City |
State |
ZIP code |
c. |
__________________________________________________________________________________ |
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Seller’s name |
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__________________________________________________________________________________ |
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Street address (no post ofice boxes) |
City |
State |
ZIP code |
9.List all street addresses from which the applicant will be making telemarketing sales calls to New Jersey residents. For each street address, provide all of the telephone numbers from which the applicant will be making telemarketing sales calls and identify the telephone service provider (local and
a. |
__________________________________________________________________________________ |
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Street address |
City |
State |
ZIP code |
(Country) |
Provide the telephone service provider: |
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__________________________________ |
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________________________________ |
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Local telephone service provider |
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for telephone numbers listed below |
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for telephone numbers listed below |
__________________________________ |
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________________________________ |
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Telephone number (include area code/country code) |
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Telephone number (include area code/country code) |
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________________________________ |
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Telephone number (include area code/country code) |
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Telephone number (include area code/country code) |
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________________________________ |
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Telephone number (include area code/country code) |
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Telephone number (include area code/country code) |
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Telephone number (include area code/country code) |
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Telephone number (include area code/country code) |
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Telephone number (include area code/country code) |
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Telephone number (include area code/country code) |
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Telephone number (include area code/country code) |
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Telephone number (include area code/country code) |
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Telephone number (include area code/country code) |
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Telephone number (include area code/country code) |
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Telephone number (include area code/country code) |
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Telephone number (include area code/country code) |
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b. |
__________________________________________________________________________________ |
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Street address |
City |
State |
ZIP code |
(Country) |
Provide the telephone service provider: |
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__________________________________ |
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________________________________ |
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Local telephone service provider |
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for telephone numbers listed below |
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for telephone numbers listed below |
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__________________________________ |
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________________________________ |
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Telephone number (include area code/country code) |
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Telephone number (include area code/country code) |
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__________________________________ |
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________________________________ |
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Telephone number (include area code/country code) |
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Telephone number (include area code/country code) |
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Telephone number (include area code/country code) |
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Telephone number (include area code/country code) |
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Telephone number (include area code/country code) |
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Telephone number (include area code/country code) |
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Telephone number (include area code/country code) |
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Telephone number (include area code/country code) |
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Telephone number (include area code/country code) |
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Telephone number (include area code/country code) |
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Telephone number (include area code/country code) |
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Telephone number (include area code/country code) |
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Telephone number (include area code/country code) |
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Telephone number (include area code/country code) |
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10.What is the applicant’s simultaneous outgoing call capacity? _________ calls
11.Is the applicant authorized (by permit, registration, license, etc.) as a telemarketer by any state or any other
government agency? |
Yes |
No |
If “Yes,” provide the name and address of each government agency and the date of authorization.
_________________________
Date (mm/dd/yyyy)
_____________________________________________________________________________________
Name
_____________________________________________________________________________________
Street address |
City |
State |
ZIP code |
12.Has the applicant ever had any authorization as a telemarketer (license, registration, permit, etc.) denied, cancelled, revoked, suspended and/or voluntarily terminated in lieu of a disciplinary investigation or
action? |
Yes |
No
If “Yes,” provide the date of the action (mm/dd/yyyy); the name and address of the government agency and the action taken by the agency (e.g. denial, cancellation, revocation, suspension and/or voluntarily
termination).
a. |
__________________________________________________________________________________ |
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Date (mm/dd/yyyy) |
Name and address of government agency |
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__________________________________________________________________________________ |
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Action taken |
b. |
__________________________________________________________________________________ |
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Date (mm/dd/yyyy) |
Name and address of government agency |
__________________________________________________________________________________
Action taken
13.Has the applicant and/or any oficer, director, principal or owner of the applicant entered into or had entered against it/him/her an injunction, temporary restraining order or inal judgment or order, including a stipulated
judgment or order, an assurance of voluntary compliance, or any similiar document, in any civil or administrative action involving theft, fraud, or deceptive trade practice; and/or is there any such litigation
presently pending? |
Yes |
No
If “Yes,” provide the date of the action (mm/dd/yyyy); the name and address of the government agency; the name of the entity/ person(s) against whom action was taken; and the disciplinary action.
a. |
__________________________________________________________________________________ |
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Date (mm/dd/yyyy) |
Name and address of government agency |
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__________________________________________________________________________________ |
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Name of entity/person |
Action taken/pending |
b. |
__________________________________________________________________________________ |
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Date (mm/dd/yyyy) |
Name and address of government agency |
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__________________________________________________________________________________ |
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Name of entity/person |
Action taken/pending |
Note: For the purposes of the above question, a judgment of liability in an administrative or civil action shall include, but not be limited to, any inding or admission that the entity, oficer, director, principal or owner of a telemarketing business engaged in an unlawful practice or practices related to fraud and/or deceptive trade practices and/or related to the authorization to do business or practice an occupation or trade, regardless of whether that inding was made in the context of an injunction or a proceeding resulting in the denial, suspension
or revocation of an organization’s authorization, consented to in an assurance of voluntary compliance or any similar order or legal agreement with any state or other government agency.
14.Has the applicant and/or the applicant’s oficers, directors, principals or owners been convicted of violating any of the provisions of the “New Jersey Code of Criminal Justice” that are listed in N.J.A.C.
If “Yes,” provide the date of the action (mm/dd/yyyy); the name and address of the government agency; the name of the entity/ person(s) against whom action was taken; the disciplinary action and any rehabilitation undertaken.
a. |
__________________________________________________________________________________ |
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Date (mm/dd/yyyy) |
Name and address of government agency |
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__________________________________________________________________________________ |
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Name of entity/person |
Action taken/pending |
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__________________________________________________________________________________ |
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Rehabilitation |
b. |
__________________________________________________________________________________ |
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Date (mm/dd/yyyy) |
Name and address of government agency |
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__________________________________________________________________________________ |
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Name of entity/person |
Action taken/pending |
__________________________________________________________________________________
Rehabilitation
CeRTiFiCATioN
I, as a principal oficer of the applicant, understand that this registration will be accepted only if the requirements of the Consumer Fraud Act (“Act”), N.J.S.A.
I certify that all of the information provided in connection with the application is true to the best of my information, knowledge and belief. I understand that any omissions, inaccuracies or failure to make full disclosures may be deemed suficient to deny registration or to withhold renewal of or suspend or revoke a registration issued by the Division of Consumer Affairs (“the Division”).
I agree to cooperate fully with any request by the Attorney General or the Division to provide any assistance or information and to produce any records requested by the Division, and to cooperate in any inquiry, investigation or hearing conducted by the Division.
_________________________________________ |
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Name of applicant |
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_________________________________________ |
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Your name (please print) |
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_________________________________________ |
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Your signature |
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_________________________________________ |
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Your title |
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_________________________________________ |
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Date |
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Rev. 9/5/08 |
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The applicant must submit the following to: |
Regulated Business Section |
|
124 Halsey Street, 7th Floor |
|
P.o. Box 45028 |
|
Newark, New Jersey 07101 |
(1)Completed registration form;
(2)Check or money order payable to “The Division of Consumer Affairs” for the applicable fee; and
(3)Supporting documentation.
Note: The application fee is nonrefundable.
Simultaneous outgoing call capacity of 1 |
- 5 telemarketer sales calls: |
$ 150.00 |
Simultaneous outgoing call capacity of 6 |
- 15 telemarketer sales calls: |
$ 500.00 |
Simultaneous outgoing call capacity of 16 + telemarketer sales calls: |
$ 2,000.00 |
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