N.J. Admin. Code § 12:121-4.3

Current through Register Vol. 57, No. 1, January 6, 2025

Section 12:121-4.3 - Procedures for completing license application

(a) Each applicant for a license shall complete an application, which can be obtained from the Department of Labor and Workforce Development at:

Division of Public Safety and Occupational Safety and Health

Office of Public Safety Compliance

1 John Fitch Plaza, 3rd Floor

PO Box 386

Trenton, NJ 08625-0386

(b) Each applicant shall provide the following information to the Department of Labor and Workforce Development:

1. Name, address, date of birth, age, sex, height, weight, eye color, driver's license number, and telephone number;

i. Proof that the applicant is at least 18 years of age at the time of the application shall be provided with the application by submitting a notarized photocopy of one or more of the following documents:

(1) Photo driver's license;

(2) County/State identification;

(3) Passport; or

(4) Birth certificate;

2. A photocopy of his or her current medical examiner's certificate;

3. A photocopy of his or her current NCCCO certificate or an equivalent certification found by the Board to meet the requirements of the American Society of Mechanical Engineers ASME B30.5 and the accreditation requirements of the National Commission for Certifying Agencies;

4. Two recent, identical passport-size color photographs taken against a white background or backdrop with the applicant's face being not less than three quarters of an inch in width. The applicant shall not wear a hat, dark glasses or any other item which may alter or disguise the overall features of the face in the photographs;

i. The applicant shall legibly print his or her name on the back of both photographs submitted; and

5. The name and address of the applicant's present employer and the applicant's position with the employer.

(c) For five years prior to the date of application, each applicant shall disclose to the Department of Labor and Workforce Development and attach to the application form the following information:

1. Any previous and pending civil litigation relevant to the operation of a crane or which reflects on the applicant's lack of personal rectitude, with current status;

2. Any previous and pending criminal litigation, with current status; and

3. Any previous and pending administrative actions, with current status, pertaining to any State, Federal, local laws or regulations, or both.

(d) Each applicant is requested to provide his or her Social Security number in his or her license application to assist the Commissioner in the enforcement of the provisions of P.L. 2003, c. 171, N.J.S.A. 45:26-1 et seq., Professions and Occupations.

1. Each Social Security number collected shall be used as an identifier in the Commissioner's computerized recordkeeping system to aid in the processing of license applications.

2. Each Social Security number collected shall remain confidential and used solely for the purpose for which it has been requested, save in those instances contemplated under N.J.S.A. 2A:17-56.44(e) regarding the exchange by State licensing authorities of information with the Probation Division of the Department of Human Services pertaining to child support arrearage.

(e) The applicant shall sign and date a statement certifying that the information contained in the application is accurate, true, and complete to the best of his or her knowledge.

(f) The applicant for a crane operator's license shall submit with his or her license application the appropriate non-refundable fee in accordance with N.J.A.C. 12:121-4.6.

(g) Completed applications shall be submitted to:

New Jersey Department of Labor and Workforce Development