Online Applications

The Hackensack Health Departments online forms. Click the links to start.

Listing files in 'Online Applications'

Animal Bite Report - uploaded on 6/9/2014 10:35 AM
Business License Application - uploaded on 6/9/2014 10:35 AM
Business License Renewal Application - uploaded on 6/9/2014 10:35 AM
Instructions For Temporary Facilities - uploaded on 6/9/2014 10:35 AM
Marriage-Civil Union -License Requirements English Rev. 01-2020.docx - uploaded on 2/13/2020 9:17 AM
Marriage-Civil Union License Requirements Spanish Rev. 01-2020.doc - uploaded on 2/13/2020 9:17 AM
Pet License Application - uploaded on 10/20/2015 7:23 PM
REG-37A Counter Vital Record Application Non-Genealogical - Health Department English.pdf - uploaded on 2/13/2020 9:13 AM
REG-37B Counter Vital Record Application Non-Genealogical - Health Department Spanish.pdf - uploaded on 2/13/2020 9:12 AM
REG-38A Counter Vital Record Application Genealogical - Health Department English.pdf - uploaded on 2/13/2020 9:13 AM
REG-38B Counter Vital Record Application Genealogical - Health Department Spanish.pdf - uploaded on 2/13/2020 9:12 AM
REG-77 Application For License - Marriage, Remarriage, Civil Union, Reaffirmation Of Civil Union English Rev. APR 19.docx - uploaded on 2/13/2020 9:17 AM
REG-77A Application For License - Marriage, Remarriage, Civil Union, Reaffirmation of Civil Union Spanish Rev. APR 19.docx - uploaded on 2/13/2020 9:17 AM
Temp Food Cover For Special Event - uploaded on 6/9/2014 10:35 AM
Temporary Facility Reminder - uploaded on 6/9/2014 10:35 AM
Temporary Health License Application - uploaded on 6/9/2014 10:35 AM
Vending Machine Inventory Form - uploaded on 6/9/2014 10:35 AM
Vending Machine License Instructions - uploaded on 6/9/2014 10:35 AM

*Times are adjusted to the local time of the organization (GMT -5)

Contact Information

Department of Health
215 State Street
Hackensack, New Jersey 07601

Phone: (201) 646-3965
Fax: (201) 646-3989