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Borough of South Plainfield

aantonides@southplainfieldnj.com

2480 Plainfield Avenue , South Plainfield, NJ, 07080, US

908-754-9000

Document Signers

    • 1 Signer1

    • 2 Sgt James McConville

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SOUTH PLAINFIELD POLICE DEPARTMENT
Special Needs Registry Form



The following form can be completed on-line. Please fill out as much information as is known to you.

You can also attach scanned documents to this form. All forms will be sent to the South Plainfield Police Department and kept on file.

You can opt out of the registry at any time and the information provided will be purged if desired!

Decals are optional. If you wish to obtain one please call or email Sgt McConville @ 908-226-7676 or jmcc1@sppolice.com
Please check that you agree before continuing.
By continuing I agree that I am willing to complete a digital version of the document(s) and that information about my user session will be stored.
Signature HereClick to Sign
02/25/2018Click to Sign
Signature HereSgt James McConville Will Sign Here
02/25/2018

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