Geo3.0 | West Long Branch

Create New Rental Registration/CO Online
OR
Create New Change of Occupancy Registration Online

1) Please fill out all fields on this form. 2) After the form is submitted, you will be asked to print one copy of the Rental Registration form AND print one copy of the Rental CO application AND print one copy of the Smoke/CO application. 3) Make the required payment. You have three options to make the payment: MAIL -OR- DELIVER THE APPLICATION IN PERSON WITH THE FEE TO: BOROUGH OF WEST LONG BRANCH 965 BROADWAY WEST LONG BRANCH, NJ 07764 -OR- PAY THE FEE ONLINE. You do not need to mail/deliver the printed application if you pay online. If you have any questions regarding this processing, please contact us at 732-571-5957.
In order to submit the application for a Rental CO, the following conditions MUST be met: Required Fields: 1) Scheduled Tenant Change Date 2) Parcel Data 3) Street Address 4) # of Rental Units 5) Owner Name 6) Email 7) Telephone (Day) Conditions To Be Met: 1) YOU MUST LIST EVERY TENANT THAT WILL BE ASSOCIATED WITH THE RENTAL a) This can be done by clicking "Add Tenant Information" b) You must enter a FIRST NAME and LAST NAME for EVERY TENANT 2) You must check the checkbox next to the text "I ACKNOWLEDGE RECEIPT OF THE BOROUGH OF WEST LONG BRANCH CODE ENFORCEMENT ORDINANCE" 3) You must click the button PRINT ORDINANCE SHEET 4) Street Address under "Owner Information" and "Property Information" CANNOT BE THE SAME. If they are, Unit # is required 5) You cannot have more than 2 Rental CO's per year

Do Not Add Smoke/CO Application

Date Submitted

12/21/2024

Scheduled Tenant Change Date

Property Information

Parcel Data

You must select the Parcel Data; the Street Address, Block, Lot, and Qualifier will be populated automatically.

Street Address
Block
Lot
Qualifier
Unit
Additional Info

Owner Information

Owner Type	Corporate Individual
Senior Citizen
Owner Name
Street Address
Unit #
City, State Zip
email
Telephone (Day)
Telephone (Evening)
Telephone (Additional)

Additional Owners Add Additional Owner

First Name	Last Name	Telephone (Day)	Telephone (Evening)	Telephone (Additional)	Street Number	Street Name	Town	State	Zip

Emergency Contact

Company Name
First Name
Last Name
Telephone
Telephone (evening)
Telephone (additional)
Street Number
Street Name
Town
State
Zip

Monmouth County Contact

Company Name
First Name
Last Name
Telephone (Day)
Street Number
Street Name
Town
State
Zip

Agent Information

Daytime Contact		Evening Contact
Company Name		Company Name
First Name		First Name
Last Name		Last Name
Street Number		Street Number
Street Name		Street Address
Town		Town
State		State
Zip		Zip
Phone		Phone

Maintenance Information

Maintenance Type	CUSOTH SPROTH SPRJAN Custodian Janitor Other Superintendent	Other (describe)
Company		Company
First Name		First Name
Last Name		Last Name
Street Number		Street Number
Street Name		Street Name
Town		Town
State		State
Zip		Zip
Telephone 1		Telephone 1
Telephone 2		Telephone 2
Telephone 3		Telephone 3

Heating Information

Fuel Type	Electric Fuel Oil Natural Gas Other Propane
Tank Type	AST (Aboveground Tank) UST (Underground Tank)
Company
First Name
Last Name
Street Number
Street Name
Town
State
Zip
Telephone 1
Telephone 2
Telephone 3

Mortgage Holder Information

Company
First Name
Last Name
Telephone
Street Number
Street Name
Town
State
Zip

Additional Mortgage Holders Add Additional Mortgage Holder

Company	First Name	Last Name	Street Number	Street Name	Town	State	Zip	Telephone

Property Insurance Company Information

Company

Agent First Name

Agent Last Name

Street Number

Street Name

Town

State

Zip

Telephone

Policy Number

Expiration Date

How to Use the Floorplan Drawing Tool

Rental Unit Information Add Unit Information

Unit Number	Seasonal	Number of Sleeping Rooms	Number of Floors	Floor That Unit Occupies	Floorplan Level	Other (describe)	Floorplan Upload	Draw Floorplan


Tenants Entered

Tenant Information Add Tenant Information

Unit Number	Gender	First Name	Last Name	Telephone (daytime)	Telephone (evening)	Driver License No	License Plate	Tenant Email

Viewed Ordinance Sheet

I Acknowledge Receipt of Ordinance

I acknowledge receipt of the Borough of West Long Branch Code Enforcement Ordinance

You must view the ordinance before submitting your Rental Registration Application.
Print Ordinance Sheet

Fees

Fee Description	Fee Amount
Rental CO Fee
Smoke/CO Fee
Total Fee

Create New Rental Registration/CO Online ORCreate New Change of Occupancy Registration Online

Rental CO Fee

Smoke/CO Fee

Total Fee

Create New Rental Registration/CO Online
OR
Create New Change of Occupancy Registration Online