Choose: To Keep Your Company Moving..

7
www.EZPassNJ.com 1-888-AUTO-TOLL (1-888-288-6865) TDD/TTY 1-866-205-4000

Choose
to keep your
company moving...
Youre on Your Way!
Business Application Enclosed.
Toll Facilities Accepting E-ZPass
New Jersey Turnpike Authority
www.state.nj.us/turnpike
New Jersey Turnpike
Garden State Parkway
The New Jersey Turnpike Authority offers a
Post-Paid Plan exclusively to business
customers. Discounts are based on toll usage
during off peak hours. To obtain an application
or to inquire about the plan call the New Jersey
E-ZPass Customer Service Center at
1-888-AUTO-TOLL (1-888-288-6865).
South Jersey Transportation Authority
www.sjta.com
Atlantic City Expressway
Delaware River Port Authority
www.drpa.org
Commodore Barry Bridge
Walt Whitman Bridge
Ben Franklin Bridge
Betsy Ross Bridge
Burlington County Bridge Commission
www.bcbridges.org
Tacony-Palmyra Bridge
Burlington-Bristol Bridge
Delaware River and Bay Authority
www.drba.net
Delaware Memorial Bridge
Port Authority of New York
& New Jersey
www.panynj.gov
Bayonne Bridge George Washington Bridge
Goethals Bridge Holland Tunnel
Lincoln Tunnel Outerbridge Crossing
MTA Bridges and Tunnels
www.mta.info/bandt
Bronx-Whitestone Bridge
Brooklyn-Battery Tunnel
Cross Bay Bridge
Henry Hudson Bridge
Marine Parkway-Gil Hodges Bridge
Queens Midtown Tunnel
Throgs Neck Bridge
Triborough Bridge
Verrazano-Narrows Bridge
New York State Thruway Authority
www.thruway.state.ny.us
Entire New York State Thruway including:
New Rochelle Barrier
Yonkers Barrier
Tappan Zee Bridge
Spring Valley (business vehicles only)
Harriman Barrier
Buffalo City Line Barrier
Black Rock Barrier
Grand Island Bridges
Peace Bridge, New York
www.peacebridge.com
Peace Bridge
New York State Bridge Authority
www.nysba.state.ny.us
Bear Mountain Bridge
Newburgh-Beacon Bridge
Mid-Hudson Bridge
Kingston-Rhinecliff Bridge
Rip Van Winkle Bridge
Delaware Department of Transportation
www.deldot.gov
Interstate 95
State Route 1
Delaware River Joint Toll Bridge Commission
www.drjtbc.org
Trenton-Morrisville Bridge
New Hope-Lambertville Bridge
Interstate 78 Bridge
Easton-Phillipsburg Bridge
Portland-Columbia Bridge
Delaware Water Gap Bridge
Interstate 80 Bridge
Milford-Montague Bridge
Pennsylvania Turnpike Commission
www.paturnpike.com
Pennsylvania Turnpike
Maryland Transportation Authority
www.mdta.state.md.us
Baltimore Harbor Tunnel
Fort McHenry Tunnel
Francis Scott Key Bridge
Hatem Bridge
Kennedy Memorial Highway
Lane Memorial Bridge
Nice Memorial Bridge
Massachusetts Department of Transportation
www.massdot.state.ma.us
Massachusetts Turnpike Tobin Bridge
Maine Turnpike Authority
www.ezpassmaineturnpike.com
Maine Turnpike
New Hampshire DOT
www.ezpassnh.com
New Hampshire Turnpike
West Virginia Parkway Authority
www.wvturnpike.com
West Virginia Turnpike
Illinois State Toll Highway Authority
www.illinoistollway.com
North-South Tollway
Tri-State Tollway
Ronald Reagan Memorial Tollway
Northwest Tollway
Skyway Concession Company LLC
www.chicagoskyway.org
ChicagoSKYWAY
Indiana Toll Road Concession Company
www.getizoom.com
Virginia Department of Transportation
www.virginiadot.org
Chesapeake Bay Bridge-Tunnel
Chesapeake Expressway
Dulles Greenway
Dulles Toll Road
George P. Coleman Bridge
Pocahontas Parkway
Powhite Parkway Extension
RMA Expressway System
Rhode Island Turnpike and Bridge Authority
www.ritba.org
Pell Bridge Newport
Ohio Turnpike Commission
www.ohioturnpike.org
Ohio Turnpike
These Terms and Conditions, together with your application, constitute your New Jersey E-ZPass Agreement (the
Agreement). A copy of these Terms and Conditions will be mailed to you along with your tag(s). Please read
these terms and conditions and keep them for your records. When you open your Account and use your New
Jersey E-ZPass tag(s), you agree as follows:
GENERAL
a) Your failure to comply with this Agreement may result in suspension, revocation, or termination of your
New Jersey E-ZPass account (Account).
b) You may not assign the obligations or benefits of this Agreement.
c) Your failure to pay charges posted to your Account, including tolls, may result in additional penalties as
provided by law, and may result in the suspension, revocation or termination of your Account.
d) You will comply with all applicable traffic laws, regulations, signs and signals, and the direction of toll
collectors and law enforcement officers. You acknowledge that failure to do so may result in
suspension, revocation, or termination of your Account.
e) You will approach and pass through an E-ZPass lane at the posted speed and obey all traffic signs. You
acknowledge that failure to adhere to these requirements may result in the suspension, revocation or
termination of your Account.
TAG USE
a) Use of your New Jersey E-ZPass tag(s) binds you to the Terms and Conditions of this Agreement.
b) Your New Jersey E-ZPass tag(s) may be used on the vehicle(s) specifically listed on this Account,
provided that the tag type matches the class of vehicle in which it is used. Your New Jersey E-ZPass
tag(s) is(are) accepted wherever you see the E-ZPass logo.
c) The New Jersey E-ZPass tag(s) remain(s) at all times the property of New Jersey E-ZPass unless you
purchased the tag(s).
d) You agree to surrender all your leased New Jersey E-ZPass tag(s) and to cease use of your purchased
New Jersey E-ZPass tag(s) immediately upon request.
e) When you use your tag(s) at any facilities accepting E-ZPass, you authorize New Jersey E-ZPass to debit
your Account for any and all charges incurred at those facilities, which charges are non-refundable.
f) If you use your tag(s) at facilities accepting E-ZPass outside of New Jersey, you are subject to the laws
and regulations governing such use at those facilities.
g) You agree not to use any lane accepting E-ZPass if your Account has an insufficient balance. You must
pay with cash in a cash lane, otherwise you may be treated as a violator.
ACCOUNT INFORMATION
Your E-ZPass Account may consist of the purchase of tag(s) and a pre-paid balance as:
a) Tag Purchase: Business customers are required to purchase tag(s).
b) Prepaid Balance: You must maintain a prepaid balance amount with New Jersey E-ZPass to cover
applicable charges to your Account. Each time you use your New Jersey E-ZPass tag, applicable
charges will be deducted from your Account. New Jersey E-ZPass will also deduct applicable
administrative fees incurred under this Agreement. If your Account balance has remained negative for
60 days, you will be sent a revocation warning letter notifying you to replenish your Account. If you fail
to replenish and maintain the minimum prepaid balance within 10 business days after a letter is sent
to you, your Account will be revoked. You will not be allowed to open another Account with New Jersey
E-ZPass, and your Account will be placed with a collection agency to pursue your outstanding balance.
New Jersey E-ZPass also reserves the right to notify any and all consumer reporting agencies of any
outstanding balances that have been delinquent for more than 90 days.
c) Account Balances: No interest will be paid on balances in your Account or on your refundable tag deposit.
d) Replenishment: Periodically, your toll use will be reviewed. If your monthly activity is above or below
your current monthly payment, your minimum monthly debit/credit card, cash or check payment will
be adjusted accordingly and you will be notified on your next scheduled statement.
e) Automatic Credit Card Update: New Jersey E-ZPass, in its discretion, may receive updated information
about your credit card, including new account numbers and expiration dates, from the financial
institution issuing the card. However, it is your responsibility to ensure that all your Account information
remains up to date.
ACCOUNT STATUS
a) You will receive monthly Account statements, unless there were no toll revenue transactions and no
financial activity in the Account during the applicable period.
b) If you have a touch-tone phone, you may call 1-888-AUTO-TOLL (1-888-288-6865) 24 hours a day for
your Account balance. You may also access this information on the New Jersey E-ZPass website
(www.EZPassNJ.com). You must use your PIN to access this information.
PAYMENTS
Method of Payment. Account replenishment must occur when your prepaid balance decreases to or below
the threshold amount specific to the method of payment you selected. You can replenish your Account in
one of the following ways:
a) By selecting credit card replenishment, you authorize New Jersey E-ZPass to automatically charge your
credit card for your replenishment amount.
b) By selecting direct debit of your bank checking account for replenishment, you authorize New Jersey
E-ZPass to automatically debit your bank checking account for your replenishment amount.
c) You can mail a check to the New Jersey E-ZPass Customer Service Center or hand-deliver it to any of
the New Jersey E-ZPass Walk-in Center locations. Checks should be made payable to EZPass. A
returned check fee of $25 will be charged for each check returned to New Jersey E-ZPass for
insufficient funds.
d) Cash payments must be made in U.S. dollars in person at any of the New Jersey E-ZPass Walk-In
Center locations. DO NOT SEND CASH IN THE MAIL.
e) If you have chosen to replenish your Account with a credit card, you may enroll in the E-ZPass Plus
SM
program by contacting the New Jersey E-ZPass Customer Service Center and requesting that the
E-ZPass Plus program be added to your Account. This program allows you to use your E-ZPass tag at
authorized E-ZPass Plus facilities. If your Tag is used to incur E-ZPass Plus charges, any charges of $20
or more will be directly charged to your credit card by New Jersey E-ZPass. Charges under $20 will be
deducted from your pre-paid balance. Such credit card charges may be different from your replenishment
amount and charged to your credit card at any time. By participating in E-ZPass Plus, you consent to the
release of your name and address to E-ZPass Plus facility operators for collection purposes.
f) Depending on usage or other charges to your Account, there may be more than one replenishment
transaction in one statement period.
TAG MISUSE, ADMINISTRATIVE FEES, ORPHAN TRANSACTIONS, DISPUTED CHARGES
Improper use of your E-ZPass tag(s) or failure to pay the proper toll may result in the imposition of an
administrative fee or other charges as follows:
a) If you use your tag(s) when your Account has a negative balance, is suspended or revoked, or if you
use a tag that has been reported as lost or stolen, you may incur an administrative fee of up to $50
(per occurrence), may be charged the full undiscounted toll, and may be asked to surrender your tag(s).
b) If you use a valid tag in a vehicle other than the type of vehicle for which the tag is designated, you
may incur administrative fees of up to $50 (per occurrence) and may be asked to surrender your tag(s).
Such continued misuse may also result in revocation of your Account.
c) If you attempt to use a tag without properly attaching it to your vehicle in accordance with the
instructions in the E-ZPass Customer Reference Guide you received when your Account was opened,
you may incur an administrative fee of up to $50 (per occurrence).
d) On the New Jersey Turnpike, orphan transactions can occur when, due to equipment failure or user
misuse, a tag is not read at either the vehicle entry or exit point or both. In these events, the actual toll
cannot be determined and the toll amount charged will be based upon the vehicles class and the following
rules: (a) if the tag is not read on entry for whatever reason, but is read at exit, the maximum fare will be
charged; or (b) if the tag is not read for whatever reason at both the entry and exit, but the license plate
on the vehicle is read, the median fare for the applicable exit interchange will be charged to the Account
assigned to that license plate. If New Jersey E-ZPass determines that the orphan transaction is a result
of user misuse or improper installation of the tag in the vehicle, New Jersey E-Z Pass reserves the right
to a charge an administrative fee of up to $50 (per occurrence) in addition to the toll charged. Other
facilities accepting E-ZPass outside the State of New Jersey may have similar policies. You agree to abide
by the policies of those facilities consistent with section 2 of these Terms and Conditions.
e) Tags must be removed from any vehicle under tow. If tags are not removed, your Account may be
charged for any and all tolls incurred in connection with the towing of such vehicle.
f) Administrative fees and charges may be billed directly to your Account. You may only contest the
imposition of charges or administrative fees to the New Jersey E-ZPass Customer Service Center. Any
such challenges must be made in writing within 60 days of the issuance of the first Account Statement
reflecting the disputed charge. If the fee is rescinded, your Account will be credited the amount of the
rescinded fee or charge.
LOST OR STOLEN TAGS
You must notify New Jersey E-ZPass immediately upon discovery of the theft, loss or unauthorized use of
your E-ZPass tag(s) by either calling 1-888-AUTO-TOLL (1-888-288-6865) or reporting it on the website
(www.EZPassNJ.com) to the New Jersey E-ZPass Customer Service Center. If notification of the loss or
theft is made to New Jersey E-ZPass in a timely manner, via one of the methods listed above, you will not
be liable for unauthorized charges in excess of $49.99 made to your Account prior to receipt of notification
of loss or theft, or for any charges resulting from the unauthorized use of your tag(s) after the receipt of
notification of loss or theft. A fee may be charged to your Account for any lost or stolen tag(s) that were
leased to you. If you purchased your tag(s) you may be charged a fee to replace the tag(s) as provided in
section 16. If your tag was stolen, notification of the theft is made to New Jersey E-ZPass in a timely
manner, and you provide the New Jersey E-ZPass Customer Service Center with a written copy of a police
report of the tags theft, you will not be charged any fees for the stolen tag or for a replacement tag.
DEFECTIVE TAGS
If your New Jersey E-ZPass tag(s) is non-operational for reasons other than abuse or improper use, and the
tag is returned to the New Jersey E-ZPass Customer Service Center, it will be replaced at no extra charge
to you. If New Jersey E-ZPass determines that abuse or improper use has rendered your tag(s) non-
operational, a fee for the tag(s) may be charged to your Account.
DISCLAIMER
To the extent permitted by law, New Jersey E-ZPass expressly disclaims any representation of warranty,
expressed or implied, relating to the New Jersey E-ZPass tag including, without limitation, any implied or
expressed warranty or merchantability, fitness for a particular purpose or conformity to models or samples.
Nor is New Jersey E-ZPass liable for any third party act taken by reason of your use or display of the New
Jersey E-ZPass tag. You agree to indemnify New Jersey E-ZPass and hold New Jersey E-ZPass harmless
from and against any and all damage, loss, cost, expense, or liability relating to, arising from, or as a result
of the use or performance of the New Jersey E-ZPass tag.
TERMINATION
You may terminate this Agreement at any time by writing to the New Jersey E-ZPass Customer Service
Center that your Account be closed, returning all of your leased New Jersey E-ZPass tag(s) in good working
condition (except for normal wear) and settling any outstanding charges on your Account. Tags can be
returned in person to any of the New Jersey E-ZPass Walk-in Center locations or by mail to the New Jersey
E-ZPass Customer Service Center. Leased tag(s) issued to you that have been lost or stolen must be
reported to us and any charges applicable to such tag(s) will be applied to your Account consistent with
section 7 of these Terms and Conditions. Tag(s) returned to New Jersey E-ZPass not in good working
condition or that have been defaced will result in a fee being charged to your account for each such tag as
per section 16. All outstanding charges will be deducted from the funds in your Account with any remaining
balance refunded to you by applying a credit to the credit card you have on file, or, if there is no credit card
on file, by issuing a refund check to you. Your Account will remain active with charges and fees, including
the monthly membership fee, continuing to be applied until all outstanding balances are settled, you have
reported all lost or stolen tag(s), and all leased tag(s) still in your possession have been returned to the New
Jersey E-ZPass Customer Service Center. You agree that we may terminate your New Jersey E-ZPass
Account for improper use at any time, and without notice.
COLLECTION EXPENSES
You agree to pay all costs, including legal fees, incurred by New Jersey E-ZPass to collect any monies due
under the terms of this Agreement.
MODIFICATION
New Jersey E-ZPass may change the Terms and Conditions at any time, including changing any existing
fees or imposing new fees. A copy of the revised Terms and Conditions, including the effective date, will
be included with your Account statement, and will be delivered to you in the same manner you have chosen
for delivery of your Account statement. A copy of any revised Terms and Conditions will also be mailed to
you upon request. Your first use of a tag following the delivery of any new Terms and Conditions will
constitute your acceptance of those new Terms and Conditions. You may choose to opt out and decline the
change in Terms and Conditions by not using the tag(s) after the effective date for the new Terms and
Conditions and returning all your E-ZPass tag(s) pursuant to Section 10. The invalidity of any term or terms
of this Agreement shall not affect any other term of this Agreement which shall remain in full force and
effect. You agree to inform New Jersey E-ZPass in writing, by calling 1-888-AUTO-TOLL (1-888-288-6865)
or through the New Jersey E-ZPass website (www.EZPassNJ.com) of any changes to the information
provided by you in your New Jersey E-ZPass application, including:
Change in address
Change in vehicle information (new car, license plate, etc.)
Change in credit card account status (closed account, maximum credit use)
Expiration date of credit card account
GOVERNING LAW
This Agreement shall be governed by and construed in accordance with the laws of the State of New Jersey.
NON-DISCLOSURE
Customer account information will not be disclosed to third parties without your consent except as
permissible by law.
INQUIRIES AND CORRESPONDENCE
Please send applications, inquiries and correspondence, tag returns, payments or violation inquiries to:
Applications: Violation Inquiries:
NJ E-ZPass Cust. Service Center NJ E-ZPass Cust. Service Center
P.O. Box 52001 P.O. Box 52005
Newark, NJ 07101-8201 Newark, NJ 07101-8205
Payments: Inquiries, Correspondence and Tag Returns:
NJ E-ZPass Cust. Service Center NJ E-ZPass Cust. Service Center
P.O. Box 52002 P.O. Box 52003
Newark, NJ 07101-8202 Newark, NJ 07101-8203
Telephone Inquiries:
All non-violations telephone inquiries may be made toll free by dialing 1-888-AUTO-TOLL (1-888-288-
6865). Violations telephone inquiries may be made by dialing 1-973-368-1425.
SCHEDULE OF DEPOSITS/ADMINISTRATIVE FEES
Monthly Membership Fee: $1.00
Per Tag deposit (leased tag customers): $10.00
Duplicate copy statement fee: $0.75 regular mail $0.11 e-mail
Tag purchase fee: Interior: $9.00 Exterior: $15.00
Fee for defaced, damaged, lost or stolen tag: Interior: $9.00 Exterior: $15.00
Returned check fee: $25.00
Tag misuse: up to $50.00 (per occurrence)
Violation administrative fee: up to $50.00 (per occurrence)
New Jersey E-ZPass and the entities providing E-ZPass services reserve the right to assess additional fees.
Effective date - 4/2012
E-ZPass Business Agreement Terms and Conditions
1 6
Special Vehicle Listing: Exterior Tags Required as of 5/04
The vehicles listed below are equipped with special windshields that may contain metal in the glass that prevents the E-ZPass tag from being
read properly. Customers with these windshields must obtain exterior tags. There may be other vehicles that have specialized windshields as
an option that may prevent an E-ZPass tag from being read properly. If you are unsure about whether your vehicle has one of these windshields,
contact the dealer where you purchased your car.
Make Model All
Buick Roadmaster All
Cadillac Catera 1999-2001
Chevrolet Lumina Van Prior to 2002
Venture Prior to 2002
Ford Crown Victoria* 1987-1994
Taurus* Prior to 1995
Oldsmobile Silhouette Prior to 2002
Pontiac Montana Prior to 2002
Transport Prior to 2002
Subaru SVX All
*Vehicles with heated windshields
Paying for parking is now quicker and easier with
The easy way to pay for airport parking.
Use E-ZPass Plus at the following locations:
JFK International Airport LaGuardia Airport Newark Newark Liberty International Airport
Albany Airport New York Avenue Garage, Atlantic City Atlantic Avenue Parking Lot, Atlantic City
Leaving the parking facilities at Atlantic City's New York Avenue Garage and Atlantic Avenue
Parking Lot, JFK International Airport, LaGuardia Airport, Newark Liberty International Airport
or Albany Airport is quicker and easier with E-ZPass Plus the automated parking system that
allows E-ZPass customers to use their E-ZPass tag to pay for parking. To qualify for this
program, you must replenish your E-ZPass account with a valid credit card. Enrollment in this
program is simple, place a checkmark in the box for E-ZPass Plus (Part 1 - Company
Information) when completing your application.
New Jersey E-ZPass Customer Service and Walk-In Centers
New Jersey E-ZPass Main Customer Service Center
P.O. Box 52003
Newark, NJ 07101-8203
1-888-AUTO-TOLL (1-888-288-6865)
www.EZPassNJ.com
TDD/TTY 1-866-205-4000
Walk-In Center Locations
Newark Walk-in Center
375 McCarter Highway Newark, NJ
Hours: Mon. - Fri. 7am 7pm, Saturday 8am 2pm
Camden Walk-in Center
420 N. 6th Street Camden, NJ
Hours: Mon. - Fri. 8am 6pm
Delaware Memorial Bridge Plaza
I-295 and New Castle Avenue New Castle, DE
Hours: Mon., Tues., Wed., and Fri.: 9am-4:45pm
Thurs. from 7am-6:45pm
Instructions for Completing the E-ZPass Business Application
The name on the account must be the full legal company name. Clearly print your
company information. You must provide the last 4 digits of your Federal ID #, which
will serve as your PIN number. Your PIN number will be used for identification
purposes when you access your account via the phone system or website.
Please record your PIN number here
and retain it for future reference.
Please provide the requested information for each vehicle listed on the Vehicle
Information Forms.
FOR BUSINESS VEHICLES (PART 2a)
Enter license plate number, state/province of registration, make and model
of vehicle, vehicle reference number and number of axles. Circle the type
of tag that you are requesting, either interior windshield, exterior roofmount
or exterior license plate.
TOTAL NUMBER OF AXLES (BOX A, pg. 3)
Total the number of axles column from the Business Vehicle
Information section. Enter the total in Box A.
TOTAL NUMBER OF INTERIOR WINDSHIELD TAGS (BOX B, pg. 3)
Total the number of vehicles that have "Windshield" circled. Enter the
total in Box B.
TOTAL NUMBER OF EXTERIOR ROOFMOUNT TAGS (BOX C, pg. 3)
Total the number of vehicles that have "Roofmount" circled. Enter the
total in Box C.
TOTAL NUMBER OF EXTERIOR LICENSE PLATE TAGS (BOX D, pg. 3)
Total the number of vehicles that have "License Plate" circled. Enter
the total in Box D.
Note: Do not order an interior tag for vehicles that have flat, perfectly
vertical windshields or for vehicles that have any metal hanging over the
windshield (i.e., visor, storage rack, boom or crane). If your vehicle fits this
description, you must order an exterior tag.
FOR BUSINESS VEHICLES (PART 2b)
Enter the license plate number, state/province of registration, make and
model of vehicle, vehicle reference number from the enclosed Vehicle
Reference Chart and number of axles.
FOR PASSENGER VEHICLES (PART 2c)
Clearly print license plate number, state/province of registration, vehicle
make and model and vehicle reference number. Circle the tag type for each
vehicle for which you are requesting a tag. If you are not requesting a tag
for a vehicle, circle "None". Please refer to the Special Vehicle Listing. If any
of the listed vehicles appear on this list, you must request an exterior tag.
TOTAL NUMBER OF INTERIOR WINDSHIELD TAGS (BOX E, pg. 5)
Total the number of vehicles that have "Windshield" circled. Enter
the total in Box E.
TOTAL NUMBER OF EXTERIOR LICENSE PLATE TAGS (BOX F, pg. 5)
Total the number of vehicles that have "License Plate" circled.
Enter the total in Box F.
To open an account, you must make an Initial Payment that includes the purchase
price of tags and a prepaid toll balance equal to your accounts estimated 45-day toll
usage.
PREPAID TOLLS
Box 1 Toll Usage = Enter your estimated 45-day toll usage for your account.
TAG COSTS
Business accountholders are required to purchase their own tags
(interior - $9.00, exterior - $15.00)
Box 2 Number of Interior Tags requested = total of Boxes B and E
(pgs. 3 & 5), enter the amount in Box 2.
Box 3 Multiply the number in Box 2 by $9.00, enter the amount in Box 3.
Box 4 Number of Exterior Tags requested = total of Boxes C, D and F
(pgs. 3 & 5), enter the amount in Box 4.
Box 5 Multiply the number in Box 4 by $15.00, enter the amount in Box 5.
Box 6 Total Tag Cost = Box 3 + Box 5, enter the amount in Box 6.
Box 7 Total Initial Payment = Box 1 + Box 6, enter the amount in Box 7.
CREDIT CARD REPLENISHMENT: The Easiest Way to Pay
There are many advantages to starting and replenishing your E-ZPass
account with a credit card:
Its easy. Theres no need to worry about a separate E-ZPass payment.
Its automatic. As long as your credit card account is in good
standing, your E-ZPass balance will never run out.
Its convenient. Your account is automatically charged whenever
your account balance falls below 25% of your prepaid toll amount.
To replenish by credit card, place a checkmark in the box to the left of
"Option 1" and complete Part 5. A secondary credit card option is available
to the customer in case the primary credit card does not process
correctly. Provide E-ZPass with your current credit card number, credit
card type, expiration date and signature. Your credit card must always
be valid and have a current expiration date.
DIRECT PAYMENT FROM BANK CHECKING ACCOUNT
To replenish by direct payment from a bank checking account, place a
checkmark in Option 2. Enclose a voided check from your bank checking
account.
You must enclose a check or money order for the amount computed in the
Total Initial Payment of the application or supply your credit card number in
Part 5 (Primary Credit Card Number) of the application to have the amount
listed in the Total Initial Payment box charged to your credit card.
CHECK OR CASH PAYMENT
To replenish by check or cash, place a checkmark in the box in Option 3.
Cash payments must be made in person at any of our New Jersey E-ZPass
Walk-in Center locations listed on the insert. Otherwise, enclose a check
payable to "E-ZPass" for the amount shown in Box 7 of Part 3 and mail with
this application.
This section must be signed by a duly authorized representative of the company.
PART 1. COMPANY INFORMATION
PART 2. VEHICLE INFORMATION
PART 3. PRE-PAYMENT CALCULATION
If you need further assistance in completing this application or updating your account information,
please take advantage of our automated phone system by calling 1-888-AUTO-TOLL (1-888-288-6865) or access our website at www.EZPassNJ.com to:
Receive account information. Report a lost or stolen tag.
Service Center location and hours of operation. Request an application.
Update your credit card expiration date. Check your account balance.
Please have your account or tag number and PIN # ready when you call.
PART 6. CUSTOMER AGREEMENT
PART 4. PAYMENT METHODS
5 2
Primary Credit Card Number: Expiration Date: ______/______ Secondary Credit Card Number: Expiration Date: ______/______
Credit Card Type: Visa Mastercard American Express Discover Credit Card Type: Visa Mastercard American Express Discover
BUSINESS APPLICATION
New Jersey Customer Service Center
I Individual accounts with more than four tags
I For company-owned or leased passenger and business vehicles (i.e., cars, trucks, tractor trailers, tandem trailers, etc.)
I Call 1-888-AUTO-TOLL (1-888-288-6865) or access our website at www.EZPassNJ.com to make any change to an existing E-ZPass account or if you are an Individual Account Customer
I FOR INSTRUCTIONS on completing this application, please see page 1
New Jersey E-ZPass Customer Service Center
P.O. Box 52001
Newark, NJ 07101-8201
1. COMPANY INFORMATION Personal Identification Number
PART 2. VEHICLE INFORMATION
PART 3. PRE-PAYMENT CALCULATION
PART 4. PAYMENT METHOD
PART 5. CREDIT CARD INFORMATION
PART 6. CUSTOMER AGREEMENT
I have read the information on this application and the Terms and Conditions. I authorize payment as selected, and certify that all information contained in the application is true and accurate.
E-ZPass Applicant Signature Required: _________________________________________________________________________________ Date: ______/______/______

Option 1 - Credit Card with Automatic Replenishment
You authorize E-ZPass to immediately charge your credit card (enter Information in section 5, Credit Card Information) the amount shown above in the Initial Payment (Line G). Whenever your prepaid
balance falls to 25% of the scheduled replenishment amount or $10, whichever is greater, you authorize E-ZPass to charge your credit card the replenishment amount. Should you fail to return your tags
or require a replacement, or incur administrative fees or E-ZPass Plus charges, you authorize E-ZPass to charge your credit card the appropriate amount incurred under the terms of this agreement. You
understand and agree that such charges will continue until your Account is terminated or closed or you revoke this authorization in writing. You authorize E-ZPass, in its discretion, to receive updated
information about your credit card, including new account numbers and expiration dates, from the financial institution issuing your card.
Option 2 - Debit from Bank Checking Account Replenishment Note: To use this option, you must initially fund your account using a credit card, check or money order
You authorize E-ZPass to immediately debit your bank checking account the amount shown above in the Initial Payment (Line G). Whenever your prepaid balance falls to 25% of the scheduled replenishment
amount or $10, whichever is greater, you authorize E-ZPass to debit your bank checking account the replenishment amount. (A voided check from your checking account must accompany this application.)
Should you fail to return your tags or require a replacement, or incur administrative fees, you authorize E-ZPass to debit your bank checking account the appropriate amount incurred under the terms of
this agreement. You understand and agree that such charges will continue until your Account is terminated or closed or you revoke this authorization in writing.
Option 3 - Check or Cash Replenishment
Make checks payable to "E-ZPass" and mail with this application to the New Jersey E-ZPass Walk-in Customer Service Center, PO Box 52001, Newark, NJ 07101-8201. Make cash payments in person
at any of the New Jersey E-ZPass Walk-in Center locations listed on the insert. A low balance message will display in the toll lane whenever your prepaid amount is at approximately 50% of your
replenishment amount indicating that a payment is required. DO NOT MAIL CASH.
Corporate / Business Name:
Billing Contact: Last Name: First Name: Phone Number: Fax Number:
( ) ( )
Billing Address: City: State: Zip Code:
Shipping Contact: (if different from above) Last Name: First Name: Phone Number: Fax Number:
( ) ( )
Shipping Address: City: State: Zip Code:
I would like to receive my statement: (Please Check One)
E-mail E-mail address _____________________________________________________ Regular Mail CD Do not send statement
I would like to enroll in the E-ZPass Plus program. (Specific details of this program are listed on page 6.)
Complete the attached Vehicle Information forms (Parts 2a, 2b and 2c) before completing Part 3. List all vehicles even though tags may not be ordered for all vehicles at this time. Use of a tag on a vehicle of a different toll class may result
in an administrative fee, in addition to the toll. You may also be liable for civil penalties pursuant to law. Refer to Page 1 for instructions on completing Part 2.
Month Year Month Year
TOLL USAGE
TOTAL PREPAID TOLL
(Box 1 = Your accounts estimated 45 day/toll usage.)
Actual toll usage will be evaluated 35 days after
opening an account and 90 days thereafter.
Your monthly prepaid adjustment amount will be
adjusted according to actual usage.
Box 1
TOLL COST
Note: Business accountholders are required to purchase their own tags - Interior: $9.00 Exterior $15.00
x $9.00 =
Number of Interior Tags
(Box 2 - Total of Box B and Box E on page 3 and 5.)
x $15.00 =
Number of Exterior Tags
(Box 4 - Total of Box C, D and F on page 3 and 5.)
Box 2
Box 4
Box 3
Box 5
Box 6
Box 7
TOTAL TAG COST
(Box 6 = Box 3 + Box 5)
TOTAL INITIAL PAYMENT
(Box 7 = Box 1 + Box 6)
}
BOX E BOX F
Total # of Total # of
tags circled tags circled
Totals:
PART 2c. PASSENGER VEHICLE INFORMATION
List all passenger vehicles that may be used under this account even if you are not requesting a tag for the vehicle at this time. Attach photocopies of this sheet if
more space is needed. The vehicle type selected from the Vehicle Reference Chart should be the most common configuration of that vehicle. All passenger vehicles
will be issued interior tags, unless the vehicle appears on the Special Vehicle Listing requiring exterior tags. To avoid violations, if your license plate changes,
please contact the New Jersey E-ZPass Customer Service Center.
License Plate State / Vehicle Vehicle Vehicle You Must Circle One Type Of Tag
Number Province Make Model Reference # For Each Vehicle
(Please Print Clearly) of (From Vehicle
Registration Reference Chart) Interior Tags Exterior Tags None
Vehicle
1
Vehicle
2
Vehicle
3
Vehicle
4
Vehicle
5
Vehicle
6
Vehicle
7
Vehicle
8
Vehicle
9
Vehicle
10
Vehicle
11
Vehicle
12
Vehicle
13
Vehicle
14
Vehicle
15
Vehicle
16
Vehicle
17
Vehicle
18
Vehicle
19
Vehicle
20
Vehicle
21
Vehicle
22
Vehicle
23
Vehicle
24
Vehicle
25
Windshield License Plate None
3 4
BOX A BOX B BOX C BOX D
Total # Total # of Total # of Total # of
of axles tags circled tags circled tags circled
Totals:
PART 2a. BUSINESS VEHICLE INFORMATION
List all business vehicles that will be used under this account, that you are requesting a tag for at this time. Attach photocopies of this sheet if more space is needed.
The vehicle type selected from the Vehicle Reference Chart should be the most common configuration of that vehicle. To avoid violations, if your license plate
changes, please contact the New Jersey E-ZPass Customer Service Center.
License Plate State / Vehicle Vehicle Vehicle No. of You Must Circle One Type Of Tag
Number Province Make Model Reference # Axles For Each Vehicle
(Please Print Clearly) of (From Vehicle
Registration Reference Chart) Interior Tags Exterior Tags
Vehicle
1
Vehicle
2
Vehicle
3
Vehicle
4
Vehicle
5
Vehicle
6
Vehicle
7
Vehicle
8
Vehicle
9
Vehicle
10
Vehicle
11
Vehicle
12
Vehicle
13
Vehicle
14
Vehicle
15
Vehicle
16
Vehicle
17
Vehicle
18
Vehicle
19
Vehicle
20
Vehicle
21
Vehicle
22
Vehicle
23
Vehicle
24
Vehicle
25
Windshield Roofmount License Plate
PART 2b. BUSINESS VEHICLE INFORMATION (NOT REQUESTING TAGS AT THIS TIME)
List business vehicles that may be used under this account even though you are not requesting a tag(s) for them at this time. Attach photocopies of this sheet
if more space is needed. The vehicle type selected from the Vehicle Reference Chart should be the most common configuration of that vehicle. To avoid violations,
if your license plate changes, please contact the New Jersey E-ZPass Customer Service Center.
License Plate State / Vehicle Vehicle Vehicle Number
Number Province Make Model Reference # of Axles
(Please Print Clearly) of (From Vehicle Reference Chart)
Registration
Vehicle
1
Vehicle
2
Vehicle
3
Vehicle
4
Vehicle
5
Vehicle
6
Vehicle
7
Vehicle
8
Vehicle
9
Vehicle
10
Vehicle
11
Vehicle
12
Vehicle
13
Vehicle
14
Vehicle
15
Vehicle
16
Vehicle
17
Vehicle
18
Vehicle
19
Vehicle
20
Vehicle
21
Vehicle
22
Vehicle
23
Vehicle
24
Vehicle
25
BUSES
(Seating 16 + passengers)
Vehicle
Ref. #
AUTOMOBILE/SPORT
UTILITY VEHICLE
This type also includes taxis, ambulances, hearses,
and limousines seating less than 10 passengers.
Vehicle
Ref. #
PICK-UP TRUCK
(For other trucks see reverse side)
MOTORCYCLE
RECREATIONAL VEHICLE (RV)
OR MOTOR HOME
Use this chart to determine the appropriate vehicle reference number required for each vehicle.
Insert the vehicle reference number on pages 3, 4 and 5 for each vehicle you are requesting a tag for .
VEHICLE REFERENCE CHART
MINIBUS/TEAMVAN/STRETCH LIMOS
(Seating 10-15 passengers)
PASSENGER/CARGO VAN
(Seating 1-9 passengers)
TYPE AND DESCRIPTION OF VEHICLE TYPE AND DESCRIPTION OF VEHICLE
2 axles, 4 tires (up to 7,000 lbs.) 72
2 axles, 3 tires (includes trikes or
a sidecar up to 7,000 lbs.) 140
2 axles, 4 tires (over 7,000 lbs.) 202
3 axles, 8 or 10 tires (up to 7,000 lbs.) 205
3 axles, 8 or 10 tires (over 7,000 lbs.) 207
4 axles, 10 or more tires (up to 7,000 lbs.) 465
4 axles, 10 or more tires (over 7,000 lbs.) 467
Note: The weight limit of 7,000 lbs. noted throughout this
CHART reflects the gross vehicle weight (GVW) on the
vehicle registration.
Other trucks and tractor trailer combinations are listed
on the reverse side.
Should your vehicle not conform to one of the
descriptions listed, contact the E-ZPass Customer
Service Center at 1-888-AUTO-TOLL (1-888-288-6865).
TRACTOR TRAILER
COMBINATION*
AUTO TRANSPORTER*
TRACTOR/MOBILE HOME
COMBINATION*
Vehicle
Ref. #
TANDEM TRAILER COMBINATION*
(Tractor with 2 Trailers)
TRUCKS
Vehicle
Ref. #
*All vehicles in this type are classified as having dual rear wheels and a Gross Vehicle Weight (GVW)
greater than 7,000 lbs.
TYPE AND DESCRIPTION OF VEHICLE TYPE AND DESCRIPTION OF VEHICLE
3 axles (under 65') 591
4 axles (over 65') 659
5 axles, 2 trailers ea. (<28 1/2') 855
5 axles, 1 trailer ea. (<28 1/2') 983
6 axles, 1 trailer ea. (<28 1/2') 987
7 axles, 1 trailer ea. (<28 1/2') 991
8 axles, 1 trailer ea. (<28 1/2') 995
9 axles, 1 trailer ea. (<28 1/2') 999
10 axles, 1 trailer ea. (<28 1/2') 1003
5 axles, 2 trailers ea. (>28 1/2') 919
3 axles 1103
4 axles 1107
5 axles 1111
6 axles 1115
7 axles 1119
8 axles 1123
9 axles 1127
10 axles 1131
3 axles (trailer less than or equal to 48) 719
3 axles (trailer over 48) 783

Choose: To Keep Your Company Moving..

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Choose: To Keep Your Company Moving..

Uploaded by

Copyright:

Available Formats

7

www.EZPassNJ.com 1-888-AUTO-TOLL (1-888-288-6865) TDD/TTY 1-866-205-4000

E-ZPass Applicant Signature Required: ___________________________________________________________________________ Date: //

You might also like