Electronic Forms

This page is used to select electronic forms. Choose a form from the list below to begin entering data.

Many forms require you to enter several pages worth of data; you will be able to move forwards and backwards through those pages, and you'll always have a chance to review all the information you've provided before submitting the form electronically.

Some forms require payment for processing; you will be asked to provide a credit card for payment after verifying the form data.

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Form Name
Employee Wage Claim Form for Non-Payment of Prevailing Wage Rate
Employer Request for Independent Medical Exam
Engineer/Operator License Form
Essex County - East Orange - Registration Form
Essex County - Newark - Registration Form
Event Outreach form (Mass email/posting)
Family Leave Appeal - Claimant
Family Leave During Unemployment Appeal - Claimant
Federal Bonding Program (Fidelity Bond) - Request for More Information
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