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Borough of South Plainfield

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


Document Signers
    • 1 Signer1

    • 2 Sgt James McConville


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
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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
03/24/2019Click to Sign
Signature HereSgt James McConville Will Sign Here

Create Your Signature

Please fill in your name and email and then either draw or type your signature below.


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Additional Signatures Required

Photograph Click Here to Upload
Additional Information Click Here to Upload