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2. Applicant must provide two (2) forms of identification that shows he/she resides in Fort Lee. A $10 fee must be paid when application is submitted.
4. Acceptable Forms of ID include:
   Driver's License, Vehicle Registration, Vehicle Insurance Card, Vehicle Lease, Voter Registration Card, Utility Bill, Tax Bill or Bank Statement.
6. Last Name*
7. First Name*
9. Address (No PO Boxes)*
10. Apt #
12. Date of Birth*
13. Age*
14. Place of Birth
16. Height*
17. Weight*
18. Hair Color*
19. Eye Color*
21. Social Security #*
22. Home Phone*
23. Cell Phone
25. Drivers License #*
29. 
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field