Motor Vehicle Commission Business Licensing Services Bureau P.O. Box 168 Trenton, New Jersey 08666-0168 Phone: (609) 292-6500 ext.5095 APPLICATION FOR BLUE EMERGENCY WARNING LIGHT PERMIT NEW JERSEY WING – CIVIL AIR PATROL PLEASE PRINT Date:_______________________ I, ____________________________________, hereby apply for a permit authorizing the installation and use of blue emergency warning lights on the vehicle(s) described below: Name:________________________________________ Address:_________________________________________ City:______________________________________ County:_____________________ Zip Code:________________ VEHICLE 1: Make_______________________ Year_________ Model_____________________ Vin No.:__________________________________ Plate No.:_____________________________ VEHICLE 2: Make_______________________ Year_________ Model_____________________ Vin No.:__________________________________ Plate No.:_____________________________ VEHICLE 3: Make_______________________ Year_________ Model_____________________ Vin No.:__________________________________ Plate No.:_____________________________ Signature:____________________________________________ Organization:______________________________ Street Address:__________________________________________________________________________________ City:____________________________________ Zip Code:______________________ Attach the following: 1. Copy of CAP 101 form. 2. Copy of the registration for the vehicle(s) described above. 3. Copy of the lease agreement/contract if the vehicle(s) is leased. INFORMATION PERTAINING TO THE BLUE LIGHT PERMIT IS ON THE REVERSE SIDE BLC-54A (12/08) American LegalNet, Inc. www.FormsWorkFlow.com INFORMATION PERTAINING TO BLUE LIGHT PERMIT ELIGIBILITY: A person applying for a permit authorizing the use of blue emergency warning lights pursuant to the agreement between the New Jersey Wing Civil Air Patrol, Inc. and the State of New Jersey dated February 10, 1993m must be an active member in good standing of a volunteer civil Air Patrol. Blue emergency warning light(s) may be displayed only on vehicles owned or leased by the applicant or by a member of the applicant’s household. POSSESSION AND EXHIBITION OF PERMIT: The permit must be in the possession of the operator at all times when the blue light(s) are displayed on the vehicle and must be exhibited upon the request of any law enforcement official. PERMIT VALIDITY, CANCELLATION, REVOCATION: Permits are valid for four (4) years from the date of issuance and are non-transferable. When a person to whom a permit is issued ceases to be an active member in good standing of a volunteer Civil Air Patrol the permit must be surrendered. Upon the sale, transfer or disposal of any of the vehicles for which the permit is issued, the permit shall automatically and immediately be deemed cancelled. Permits must be surrendered to Motor Vehicle Commission within ten (10) days of the date of cancellation or revocation. MOUNTING OF LIGHTS: Emergency warning lights shall be removable or permanently attached of the flashing or revolving type, equipped with a blue lens and controlled by a switch installed inside the vehicle, or shall be blue of the light bar type. No more than two emergency warning lights shall be installed on a vehicle. If one light is used it shall be installed in the center of the roof of the vehicle, or on the front of the vehicle so that the top of the emergency warning light is no higher than the top pf the vehicles headlights, or in the center of the dashboard. It may be a low profile light bar of the strobe, halogen, or incandescent type, or a combination thereof. If two lights are used they may placed on the windshield columns on each side of the vehicle where spotlights are normally mounted, or on either side of the roof at the front of the vehicle directly back of the top of the windshield. Under no circumstances may one light be Placed on the roof an one on the windshield column in the spotlight position. Light elements shall be shielded from direct sight of view of the driver. ALTERNATING FLASHING OR STROBE HEADLIGHTS ARE PROHIBITED AND SHALL NOT BE INCORPORATED INTO THE HOUSING OF ANY LIGHTING USE: The blue emergency warning lights may be used only when the vehicle is being operated to provide emergency services during local and national emergencies declared by the Governor of the State of New Jersey. Any other use of the light is prohibited. . American LegalNet, Inc. www.FormsWorkFlow.com