DCA SAGE [Registration Information

Back to Portal	ACCESS REQUEST INFORMATION

Instructions: DCA SAGE is intended for the administration of grant requests submitted to the New Jersey Department of Community Affairs by authorized organizations and municipalities. To request authorization and access to the SAGE system for your organization, you must be the Agency Authorized Official (eg: Executive Director, Mayor or Chief Operating Officer) and provide the information below. The access request information will be forwarded to DCA's grant services staff for review. The initial agency type selected should reflect the primary role of your agency. Selecting multiple agency types will be permitted after initial access is granted. DCA staff may contact you for further information. You will be advised of the outcome of your request by email.

Registration Information

Salutation
First Name	*
Middle Name
Last Name	*
Email	*
Title (Must be Executive Director, Mayor or Chief Operating Officer)	*
Agency Name	*
Agency Vendor Number (Obtain a Vendor Number)
Agency Street Address (No PO Box allowed)	*
Agency Address continued
Agency Address continued
Agency City	*
Agency State	*
Agency Zip Code (Obtain +4 digits extension)	*
Agency County (Location)
Agency Municipality (Location)
Agency Phone	*
Agency Phone Extension
Agency Fax
Initial Agency Type	*
Federal Employer I.D. Number:	*
Access Requested for RFP/Program	*
Date Created
Certificate of Corporation
Federal Congressional District	*
SAM Unique Entity ID (Obtain one)	*
NJ Department of Treasure Corporate Number (Entity ID)	*
1. If your organization received U.S. Federal Revenues in your preceding completed fiscal year, was the sum of those revenues: A. $25,000,000 or more in annual gross revenues?	*
B. 80% or more of the agency's annual gross revenues?	*
2. If you answered 'yes' to both questions 1a and 1b, does the public have accesss to information about the compensation of the excutives in your organization through periodic reports filed under section 13(a) or 15(d) or the Securities Exchange Act of 1934 (15U.S.C 78o(d) or section 6140 of the Internal Revenue Code of 1986?	*

* = Required Field