Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Flashing Amber Light Permit Application Form. This is a New Jersey form and can be use in Motor Vehicle Commission Statewide.
Loading PDF...
Tags: Flashing Amber Light Permit Application, BLC-34, New Jersey Statewide, Motor Vehicle Commission
New Jersey Motor Vehicle Commission
Business Licensing Services Bureau
P.O. Box 171
Trenton, New Jersey 08666-0171
FLASHING AMBER LIGHT PERMIT
INSTRUCTIONS
Please ensure that the correct application is completed for an amber light permit and that all required documents,
signatures, and fees are submitted with your application, as any errors and/or omissions will delay the processing of
your request. Please refer to N.J.S.A. 39:3-50, N.J.S.A. 39:3-54.24, 54.25 and N.J.A.C. 13:24-4.1 et. seq., for the full
text of the provisions governing the application for and the use of flashing amber lights.
Permit Eligibility
Owners or lessees of vehicles to be used for the following business operations are eligible for flashing amber light permits:
(i) Tow trucks bearing commercial registration
The use of the flashing amber light is restricted to operation on a public highway at the scene of an accident or
breakdown while preparations are being made for vehicle removal and while the tow truck is towing or
transporting the disabled vehicle from the scene of an accident or breakdown to the place of storage or repair.
(N.J.A.C. 13:24-4.1(a)1)
(ii) Service vehicles bearing commercial registration
A flashing amber light may be used on a public highway where such warning light activation is necessary for
the protection of the public or service vehicle personnel. (N.J.A.C. 13:24-4.1(a)2) “Service vehicle” means any
vehicle bearing commercial registration that is used to perform some type of maintenance, inspection, or repair
function within the confines of public highways or any vehicle used to transport or escort overdimensional loads
on public highways. (N.J.A.C. 13:24-1.1)
(iii) Snow-removal and /or sanding vehicles bearing commercial registration
Use of the flashing amber light is permitted only where such vehicle is actually engaged in snow removal,
sanding or plowing operation on a public highway, and the vehicle owner or lessee has a snow-removal or
sanding contract with a governmental agency. (N.J.A.C. 13:24-4.1(a)3)
(iv) New Jersey Department of Transportation (NJDOT) contractor/subcontractor (consultant/subconsultant) employee vehicles bearing passenger registration
The use of a flashing amber light is permitted on a vehicle owned or leased by an employee of a contractor or
subcontractor (consultant or subconsultant) of the NJDOT, and the amber light may be operated only when the
vehicle is being used by the employee in the performance of his or her assigned duties at a NJDOT worksite.
(N.J.A.C. 13:24-4.1(a)5)
(v) New Jersey Turnpike Authority (NJTA) or South Jersey Transportation Authority (SJTA)
contractor/subcontractor (consultant/subconsultant) employee vehicles bearing passenger registration
The use of a flashing amber light is permitted on a vehicle owned or leased by an employee of a contractor or
subcontractor (consultant or subconsultant) of the NJHA or the SJTA, and the amber light may be operated only
when the vehicle is being used by the employee in the performance of his or her assigned duties at a worksite of
the applicable Authority. (N.J.A.C. 13:24-4.1(a)6)
(vi) Security services vehicles bearing commercial registration
The use of a flashing amber light is permitted on a vehicle bearing commercial registration, which is owned or
leased by a business that provides security services for commercial businesses or private residences, and the use
of the amber light is permitted only while the vehicle is actually engaged in providing security services.
(N.J.A.C. 13:24-4.1(a)7)
BLS-34(7/11)
American LegalNet, Inc.
www.FormsWorkFlow.com
New Jersey Motor Vehicle Commission
Business Licensing Services Bureau
P.O. Box 171
Trenton, New Jersey 08666-0171
FLASHING AMBER LIGHT PERMIT
ADDITIONAL INSTRUCTIONS
Please refer to N.J.S.A. 39:3-50 and N.J.A.C. 13:24-4.1, et. seq., for the full text of the provisions governing the
application for and the use of flashing amber lights.
Permit Fees
Initial permit issuance: $25 per vehicle on which an amber light will be used. (N.J.S.A. 39:3-50(d))
Renewal of permit:
$25 per vehicle on which an amber light will be used. (N.J.S.A. 39:3-50(d))
Make check payable to: “NEW JERSEY MOTOR VEHICLE COMMISSION” or “NJMVC” for the TOTAL FEE
TOTAL FEE = Number of Vehicles x $25 (E.g., 1 vehicle = $25, 2 vehicles = $50).
Possession and Exhibition of Permit
The permit must be in the possession of the operator at all times when the flashing amber light is displayed on the
vehicle and shall be exhibited upon the request of any law enforcement official or authorized representative of the
New Jersey Motor Vehicle Commission. (N.J.A.C. 13:24-4.3)
Permit Validity; Cancellation; Revocation
The Flashing Amber Light permit is valid for four years from the date of issuance, unless cancelled or revoked, and is
non-transferable. Termination of the type of employment or service for which the permit is issued, or the sale,
transfer, disposal or termination of the lease of the vehicle for which the permit was issued, automatically and
immediately cancels the permit and invalidates the authority for use of such light. The permit is to be surrendered to
the New Jersey Motor Vehicle Commission by the permit holder within 10 business days from the cancellation or
revocation. (N.J.A.C. 13:24-4.2, 4.5, et seq.)
Mounting of Lights
A flashing amber light utilized on a vehicle shall be mounted so that at least one such light is clearly visible from
every direction when the vehicle is being used for the type of employment or service for which the permit was issued.
Alternately flashing or strobe headlights are prohibited and shall not be incorporated into the housing of any lighting
permitted. (N.J.A.C. 13:24-4.4)
American LegalNet, Inc.
www.FormsWorkFlow.com
Business Licensing Services Bureau
P.O. Box 171, Trenton, NJ 08666-0171
(888) 486-3339 #5014 toll-free in NJ
609-292-6500 #5014
New Jersey
Motor Vehicle Commission
FLASHING AMBER LIGHT PERMIT APPLICATION
TOW TRUCKS, SERVICE VEHICLES, SNOW-REMOVAL/SANDING VEHICLES or SECURITY SERVICES
O
Business Information
Business Name
Full Address
City
State/Zip
County
Business Corp Code
Contact Name
Business Phone Number
Business Email Address
Provide a detailed description of the type of service and location (include County name(s)) where amber light will be operated:
________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________
Vehicle Information (Commercial Registration Only)
I hereby apply for a permit authorizing the installation and use of an amber light on the following described vehicle:
(Please attach sheets for additional vehicles, as necessary)
Name of Registered Owner/ Lessee
Relationship of Registered Owner/Lessee to Applicant
Street Address
City
License Plate No.
State
Year
Zip
County
Make
Model
VIN
Applicant Signature: ________________________________________________________________________________
Date: ___________________________
Title: _____________________________________________________________________________________________
After completion, this application must be signed by the chief law enforcement official in the municipality in which the service is
being provided. Thereafter, the application and required fee should be submitted to the Commission. (N.J.A.C. 13:24-4.2(b))
ATTACH THE FOLLOWING: - A copy of the registration for the vehicle described above
- A copy of the lease agreement ( if the vehicle is leased)
- Check payable to “NJMVC” for Total Fee (See Instructions)
Total Fee Enclosed ___________________
Chief Law Enforcement Approval
Law Enforcement Organization ______________________________________________________________________________________________________________
Address ___________________________________________________________________________________________________________________________________
City
State/Zipcode
Contact Phone No. _________________________________________________________
Email Address ______________________________________________
Corp Code_________________________________________________________________
I, _________________________________________________________________________, have read the instructions pertaining to this application for a flashing
(chief law enforcement official)
amber light permit for the vehicle(s) and services described above, and believe that the applicant qualifies for this permit.
Signature ______________________________________________________ Title ___________________________________
Date _________________________
American LegalNet, Inc.
www.FormsWorkFlow.com
Business Licensing Services Bureau
P.O. Box 171, Trenton, NJ 08666-0171
(888) 486-3339 #5014 toll-free in NJ
609-292-6500 #5014
New Jersey
Motor Vehicle Commission
FLASHING AMBER LIGHT PERMIT APPLICATION
NEW JERSEY DEPARTMENT OF TRANSPORTATION
CONTRACTOR/SUBCONTRACTOR (CONSULTANT/SUBCONSULTANT) EMPLOYEE
O
Employee Information (Permit Holder)
Employee’s Name
Full Address
City
Driver License Number
State/Zip
(Attach legible copy of driver license if not New Jersey)
Daytime Telephone Number
Provide a detailed description of the employee’s duties and the designated areas (include County name(s)) where amber light will be operated:
_______________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________
Vehicle Information (Passenger Registration Only)
I hereby apply for a permit authorizing the installation and use of an amber light on the following described vehicle:
(Please attach sheets for additional vehicles, as necessary)
Name of Registered Owner/ Lessee
Relationship of Registered Owner/Lessee to Applicant
Street Address
State
City
License Plate No.
Year
Zip
Make
County
Model
VIN
Employee Signature: _____________________________________________________________________________
Date: ___________________________
Employee Title: _________________________________________________________________________________
After completion, this application must be signed by an authorized representative of the contractor or subcontractor (consultant or
subconsultant) of the NJDOT. Thereafter, the application and required fee should be submitted to the Commission. (N.J.A.C. 13:24-4.2(d))
ATTACH THE FOLLOWING: -
A copy of the registration for the vehicle described above
A legible copy of driver license if not New Jersey
A copy of the lease agreement ( if the vehicle is leased)
Check payable to “NJMVC” for Total Fee (See Instructions)
Total Fee Enclosed _________________
Contractor/Subcontractor (Consultant/Subconsultant) Information
Business Name
Business Address
Street
City
Business Phone Number
State/Zip
Business Email Address
Business Corp Code
I, __________________________________________________________________________________, have read the instructions pertaining to this application for a
(authorized representative)
flashing amber light permit for the vehicle and services described above, and believe that the applicant qualifies for said permit.
Signature: ___________________________________________________________ Title ______________________________
Date: ____________________
American LegalNet, Inc.
www.FormsWorkFlow.com
Business Licensing Services Bureau
P.O. Box 171, Trenton, NJ 08666-0171
(888) 486-3339 #5014 toll-free in NJ
609-292-6500 #5014
New Jersey
Motor Vehicle Commission
FLASHING AMBER LIGHT PERMIT APPLICATION
NEW JERSEY TURNPIKE AUTHORITY or SOUTH JERSEY TRANSPORTATION AUTHORITY
CONTRACTOR/SUBCONTRACTOR (CONSULTANT/SUBCONSULTANT) EMPLOYEE
O
Employee Information (Permit Holder)
Employee’s Name
Full Address
City
Driver License Number
State/Zip
(Attach legible copy of driver license if not New Jersey)
Daytime Phone Number
Provide a detailed description of the employee’s duties and the designated areas (include County name(s)) where amber light will be operated:
___________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________
Vehicle Information (Passenger Registration Only)
I hereby apply for a permit authorizing the installation and use of an amber light on the following described vehicle:
(Please attach sheets for additional vehicles, as necessary)
Relationship of Registered Owner/Lessee to Applicant
Name of Registered Owner/ Lessee
Street Address
City
License Plate No.
State
Year
Zip
County
Make
Model
VIN
Employee Signature: ________________________________________________
Title ________________________________
Date: __________________
After completion, this application must be signed by an authorized representative of the contractor or subcontractor (consultant or subconsultant) of the
applicable Authority and thereafter forwarded to the Executive Director of the applicable Authority or to his or her designee for signature. Thereafter,
the application and required should be submitted to the Commission. (N.J.A.C. 13:24-4.2(e))
ATTACH THE FOLLOWING: - A copy of the registration for the vehicle described above
- A legible copy of the driver license if not New Jersey
- A copy of the lease agreement ( if the vehicle is leased)
- Check payable to “NJMVC” for Total Fee (See Instructions)
Total Fee Enclosed _________________
Contractor/Subcontractor (Consultant/Subconsultant) Information
Business Name
Business Address
Street
City
Business Phone Number
State/Zip
Business Email Address
Business Corp Code
I, __________________________________________________________________________________, have read the instructions pertaining to this application for a
(authorized representative)
flashing amber light permit for the vehicle and services described above, and believe that the applicant qualifies for said permit.
Signature: ___________________________________________________________ Title ______________________________
Date: ___________________
Executive Director or Designee Approval
Signature ___________________________________________________________ Title ___________________________________ Date _______________________
Name of Authority _________________________________________________________________________________________________________________________
Authority’s Phone No. _______________________________ Authority’s Email Address ______________________________________________________________
Corp code __________________________________________
American LegalNet, Inc.
www.FormsWorkFlow.com