Retired NJ Chief of Police

NJID Data entry form. All of the fields with * are required.

Agency Name*
Please enter the name of the Agency. EX: "Sample Police Department" "Borough of Sample Police Department"
Street Address*
Address Line 2
City*
State*
Zip*
24 Hr Phone number for the Agency*
Email*
ID card information
Full Legal Name*
Please use proper Capitalization. EX: " Sample A. Sample" " Sample Sample"
Rank*
EX: " Retired Chief" "A/ Chief" "Deputy Chief" "Director"
Title
EX: " Retired Chief of Police" "Acting Chief of Police" " Chief of Detectives"
Height*
EX: 5'0" 6'0" 6'5"
Weight*
In lbs only. EX: " 220 lbs " " 120 lbs " "100 lbs"
Eye Color*
EX: "Hazel" "Black" "Brown"
Hair Color
EX: " Blonde" " Black" " Grey" "Bald"
Date of Birth*
EX: 11/11/1111
Date of Retirement*
EX: 11/11/1111
Photograph*
High Resolution Color photos only. Use a clear image of your face. Do not use filters. Have someone else take your photo. No selfies. Take off your eyeglasses for your photo.
Accepted file types: jpg, jpeg, png, pdf, Max. file size: 40 MB.
By submitting this information you confirm that all of the information provided by you is correct.
Agreement*
- I have read and agreed to terms

ID card information