N.J. Admin. Code § 13:69A-14.3

Current through Register Vol. 56, No. 24, December 18, 2024

Section 13:69A-14.3 - Contents of submission

(a) A PHD-1 submission for retention of qualification shall include:

1. A completed Personal History Disclosure Resubmission Form, as set forth in N.J.A.C. 13:69A-5.4, signed by the applicant and notarized by a person authorized to administer oaths. This form shall contain all information since the initial filing for qualification or his or her most recent submission;

2. A Release Authorization signed by the qualifier and notarized by a person authorized to administer oaths in the State of New Jersey, which Release Authorization shall direct all courts, probation departments, selective service boards, employers, education institutions, banks, financial and other institutions, and all governmental agencies, Federal, state and local both foreign and domestic, to release any and all information pertaining to the qualifier as requested by the Division;

3. The documents required for identification by N.J.A.C. 13:69A-7.2A as needed; and

4. Additional information and/or documentation that the Division may require.

(b) An application for retention of qualification also may include:

1. A Personal Financial Statement certified and signed by the qualifier containing a detailed, itemized list of the qualifier's assets and liabilities in a form required by the Division; and

2. Copies of any Federal and New Jersey income tax returns filed by the qualifier with the Internal Revenue Service and State of New Jersey since the qualifier's initial qualification was granted or most recent Resubmission Form was filed, whichever occurred later.

N.J. Admin. Code § 13:69A-14.3