E-ZPass Plans and Application Tips Plan # 001 - E-ZPASS Basic Plan (Amount $25.00): No minimum use is required. Some toll facilities offer all E-ZPass customers an automatic discount rate (no enrollment requirements). This rate varies depending on the roadway. This plan may be used wherever you see the E-ZPass sign displayed. New Jersey E-ZPASS Discount Plans: Go to the www.EZPASSNJ.com website and click on the “E-ZPass Information” icon and then click on “Plan Descriptions” to view the complete list of discount plans supported by the New Jersey E-ZPass Program along with the Plan’s specific requirements, documentation, and prepayment amounts required by those discount plans. The Plans listed below can be applied for on this application provided you meet the Plan’s specific requirements, supply any additional documentation requested, and make the required prepayment. Plan # 170 Atlantic City Expressway Frequent User Plan: Tag specific discount plan that requires enrollment. Enrolled E-ZPass customers making a certain number of trips using their E-ZPass tag within a specified period of time will receive an additional discount under the Frequent User Plan for the next time period. Plan # 102 Port Authority of NY & NJ Staten Island Bridges Plan: This plan requires an advance purchase of trips. The plan is account specific providing commuters with significant discounts on the Goethals and Bayonne Bridges, and the Outerbridge Crossing. Plan # 108 Port Authority of NY & NJ Carpool Plan: Account specific plan that requires a certain number of occupants in a passenger vehicle with noncommercial plates and requires the vehicle to use a staffed lane to verify occupancy. Plan # 151 NY State Bridge Authority Discount Plan: Tag specific plan that requires a monthly minimum usage over any of the following bridges: Rip Van Winkle, Kingston Rhinecliff, Mid-Hudson, Newburgh-Beacon, and the Bear Mountain. Plan # 251 Delaware River and Bay Authority Commuter Plan: Tag specific plan that requires a minimum number of trips on the Delaware Memorial Bridge in a period of 30 days to receive a discount. Plan # 252 Delaware River and Bay Authority Frequent User Plan: Tag specific plan that requires a minimum number of trips within a specified number of days on the Delaware Memorial Bridge to receive the discount. Plan # 261 Garden State Parkway Trailer Discount Plan: Tag specific plan that provides discounts to certain classes of vehicles pulling a trailer when traveling on the Garden State Parkway, as detailed on the website. Plan # 264 Turnpike/Garden State Parkway Green Pass Discount Plan: Tag specific plan that offers a discount to certain types of vehicles that meet emission and mileage standards when traveling on the New Jersey Turnpike and Garden State Parkway. See the website for specific filing requirements and program details. Plan # 1100 - Delaware River Joint Toll Bridge Commission Discount Plan: Tag Specific with no sign-up required provides a 40% discount on E-ZPass trips based on a tag on the account completeing16 trips in the calendar month. The discount is credited to your account each month for trips taken the previous month. The plan is tag specific and only applies to Class 1 vehicles. For additional discounts (e.g. Senior Citizen Discount Program, etc.) available to New Jersey E-ZPass customers please visit the www.EZPASSNJ.com website. Important Tips About the E-ZPass Application ACCOUNT ACCESS INFORMATION You MUST provide a 4 digit PIN # to access your account via the automated voice system OR answer your challenging question when speaking to a customer service representative. TAG REQUEST / DEPOSIT (Section 3, Lines A&B) Most vehicles can operate with interior tags. Check Special Vehicle Listing for the small number of vehicles that require exterior tags. Enter the number of tags you need by type under the Vehicle Information section. The E-ZPass tag deposit is waived for customers who pay by credit card or direct debit. Check and cash customers will be charged a $10 refundable deposit per tag. PRE-PAYMENT CALCULATION (Section 3, Lines C-G) Select the E-ZPass plan(s) that meet your needs. The dollar amount listed next to each discount plan offered under the Special Commuter/Resident Discount Plan section is the minimum prepaid amount for that plan. Enter this amount in the “Minimum Prepaid Amount” column for all selected plans. For the NY State Thruway Annual Permit Plan, you must multiply the number of tags with this discount plan by the cost of the plan. The total dollar amount of all discount plans requested is entered on Line E. • BASIC PLAN (LINE C): Credit card, debit from bank checking account, cash, and check customers are required to pay a minimum prepaid amount of $25 for up to 4 tags. • ADDITIONAL PREPAID TOLL AMOUNT (LINE F): If the total prepaid amount from the selected E-ZPass plan(s) will not cover your first month of anticipated charges, enter an additional amount on Line F. • INITIAL PAYMENT (LINE G): Add Lines B, C, E and F and enter the total on Line G. PAYMENT METHOD (Section 4) • CREDIT CARD REPLENISHMENT: The Easiest Way to Pay To replenish by credit card, place a checkmark in Option 1. Provided for the convenience of the customer, a secondary credit card option is available in case the primary credit card does not process correctly. There are many advantages to starting and replenishing your E-ZPass account with a credit card: • No tag deposit is required. • It’s easy. There’s no need to worry about a separate E-ZPass payment. • It’s automatic. As long as your credit card account is in good standing, your E-ZPass balance will never run out. • You are automatically enrolled in E-ZPass Plus. • E-ZPass Plus charges of $20 and over are charged directly to your credit card. • DIRECT DEBIT FROM BANK CHECKING ACCOUNT To replenish by direct debit 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. • No tag deposit is required. • It’s easy. There’s no need to worry about a separate E-ZPass payment. • It’s automatic. As long as your bank checking account is in good standing, your E-ZPass balance will never run out. • CHECK OR CASH REPLENISHMENT To replenish by check or cash, place a checkmark in Option 3. Cash payments must be made in person at any of the New Jersey E-ZPass Walkin Center locations listed on the insert. Enclose a check payable to E-ZPass for the amount shown in Line G of Section 3 and mail with this application. If any required information or documentation is missing from your application, the application will be rejected and returned to you. For further assistance in completing this application, or to take advantage of our automated phone system, call 1-888-AUTO-TOLL (1-888-288-6865) or visit our website at www.EZPassNJ.com to: • Update your credit card. (web, automated phone system) • Open an account online. (web) • Receive account information. (web, automated phone system) • Report a lost or stolen tag. (web, automated phone system) • Request an additional application. (web) • Obtain the Service Center locations and hours of operation. (web, automated phone system) • Update vehicle or license plate info. 11/2015 Please have your ACCOUNT ACCESS INFORMATION ready when you call. It gives you the time you need, and the convenience you want. Toll Facilities Accepting E-ZPass New Jersey E-ZPass Operators Burlington County Bridge Commission www.bcbridges.org Tacony-Palmyra Bridge • Burlington-Bristol Bridge Delaware River and Bay Authority www.drba.net Delaware Memorial Bridge 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 Delaware River Port Authority www.drpa.org Commodore Barry Bridge • Walt Whitman Bridge • Ben Franklin Bridge • Betsy Ross Bridge New Jersey Turnpike Authority www.state.nj.us/turnpike New Jersey Turnpike • Garden State Parkway South Jersey Transportation Authority www.sjta.com Atlantic City Expressway You’re on Your Way! Application enclosed. Please record your PIN # here and retain it for future reference ☛ Indiana Toll Road Concession Company www.getizoom.com Indiana Toll Road Maine Turnpike Authority www.ezpassmaineturnpike.com Maine 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 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 Niagara Falls Bridge Commission www.niagarafallsbridges.com Lewiston - Queenston Bridge • Rainbow Bridge • Whirlpool Bridge New Hampshire DOT www.ezpassnh.com New Hampshire Turnpike 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 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 (commercial vehicles only) • Harriman Barrier • Buffalo City Line Barrier • Black Rock Barrier • Grand Island Bridges North Carolina Turnpike Authority www.ncdot.gov/turnpike NC147 • NC540 Ohio Turnpike and Infrastructure Commission www.ohioturnpike.org Ohio Turnpike Pennsylvania Turnpike Commission www.paturnpike.com Pennsylvania Turnpike Port Authority of New York & New Jersey www.panynj.gov Bayonne Bridge • George Washington Bridge • Goethals Bridge • Holland Tunnel • Lincoln Tunnel • Outerbridge Crossing Rhode Island Turnpike and Bridge Authority www.ritba.org Pell Bridge Newport Skyway Concession Company LLC www.chicagoskyway.org ChicagoSKYWAY 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 West Virginia Parkway Authority www.wvturnpike.com West Virginia Turnpike PRINTED: JANUARY 2015 As you pass through the E-ZPass facility, your E-ZPass tag is read. ❷ In an instant, the tag information is read by an overhead antenna in the E-ZPass facility and the proper charge is deducted from your E-ZPass account. ❸ At some facilities, there are gates that will go up when a valid tag is read. ❹ A video enforcement system is in place to identify charge evaders. ❺ A traffic signal and message is immediately displayed to you just beyond the E-ZPass facility, with the exception of express E-ZPass lanes. 4 2 1 5 3 Other E-ZPass Operators Buffalo and Fort Erie Public Bridge Authority www.peacebridge.com Peace Bridge Delaware Department of Transportation www deldot.gov Interstate 95 • State Route 1 Illinois State Toll Highway Authority www.illinoistollway.com North-South Tollway • Tri-State Tollway • Ronald Reagan Memorial Tollway • Northwest Tollway ❶ 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 Make Model All Buick Roadmaster All Oldsmobile Silhouette Prior to 2002 Cadillac Catera 1999-2001 Pontiac Chevrolet Lumina Van Venture Prior to 2002 Prior to 2002 Montana Transport Prior to 2002 Prior to 2002 Subaru SVX All Ford Crown Victoria* 1987-1994 Taurus* Prior to 1995 *Vehicles with heated windshields only Paying for parking is now quicker and easier with The automated parking system that allows E-ZPass customers, who replenish their account automatically by credit card, to use their E-ZPass tag to pay for parking. E-ZPass Plus at the following airport locations: JFK International LaGuardia Atlantic City Airport Newark Liberty International Airport Albany Airport and at all SJTA (South Jersey Transportation Authority) operated parking facilities located at New York Avenue, between Atlantic & Pacific Avenues, Atlantic & Mississippi Avenues, and Mississippi & Fairmount Avenues in Atlantic City. New Jersey E-ZPass Customer Service and Walk-In Centers New Jersey E-ZPass Main Customer Service Center Walk-In Center Locations P.O. Box 4972 Trenton, NJ 08650 Newark Walk-in Center 375 McCarter Highway • Newark, NJ Hours: Mon.–Fri. 7am–7pm, Sat. 8am–2pm 1-888-AUTO-TOLL (1-888-288-6865) www.EZPassNJ.com TDD/TTY 1-866-205-4000 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.: 8am-5pm Thurs. from 8am-7pm E-ZPass Individual Agreement Terms and Conditions ➊ GENERAL ➋ ➌ ➍ ➎ ➏ 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 a lane accepting E-ZPass at the posted speed and to 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. d) You agree to surrender your New Jersey E-ZPass tag(s) immediately upon our 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. ➐ ACCOUNT INFORMATION Your New Jersey E-ZPass Account consists of a prepaid balance (including discount plans) and a $10 per tag refundable deposit for accounts that are replenished by check or cash. a) Tag Deposit: A $10 per tag deposit is required unless you register a credit card on your account that is to be used to replenish your account whenever the prepaid balance reaches or falls below the account’s replenishment threshold. The tag deposit fee is refunded to you when you close your Account, have settled any outstanding balances, and return the tag(s) to New Jersey E-ZPass in good condition. The deposit fee will be credited to your Account if you elect to pay automatically by credit card or by direct debit from a bank checking account. 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 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. The new amount will automatically be reflected 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. f) You agree to provide the license plates for all vehicles that you will operate under E-ZPass and to keep that information correct and current by timely updating it whenever there is a change needed. The license plate information is used, in the event your E-ZPass tag is not read, to post the toll to your valid E-ZPass account and not to issue you a violation notice. Please be advised that posting a toll by license plate affects any E-ZPass discount(s) that you may be entitled to and may also result in the imposition of additional fees and charges, including a different toll rate from that of E-ZPass, subject to these Terms and Conditions. ACCOUNT STATUS a) You will receive a monthly statement for the first six months upon opening an Account and bimonthly statements thereafter, unless there were no toll revenue transactions and no financial activity in the Account during the applicable period. b) You may choose to opt out of receiving paper Account statements by calling the New Jersey E-ZPass Customer Service Center at 1-888-AUTO-TOLL (1-888-288-6865) or by visiting the New Jersey E-ZPass website (www.EZPassNJ.com). You may continue to access your Account activity on the New Jersey E-ZPass website (www.EZPassNJ.com). You must have your Account Access Information available. c) 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. If you choose to opt out of receiving paper Account statements, it is your responsibility to review your Account activity on the New Jersey E-ZPass website (www.EZPassNJ.com) to ensure that posted charges are accurate. ➑ ➒ ➓ ⓫ ⓬ 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 EZPass 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 E-ZPass. 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 will be enrolled in the E-ZPass PlusSM program. You may choose to opt out of E-ZPass Plus by calling the New Jersey E-ZPass Customer Service Center at 1-888-AUTO-TOLL (1-888-288-6865) or by logging into your account on our website at www.EZPassNJ.com. 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 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 New Jersey 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, revoked, or you use a tag that has been reported as lost or stolen, you may incur an administrative fee of up to $50 (per occurrence), 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 ⓭ ⓮ ⓯ 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 vehicle’s 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-ZPass reserves the right to 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 New Jersey 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, and you will not be liable 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). If you wish to replace your lost or stolen tag(s), a new $10 per tag deposit will be required unless you register a credit card on your account that is used to automatically replenish your account whenever the prepaid balance reaches or falls below the account’s replenishment threshold. 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 tag’s 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 and, if you wish to replace the tag(s), a new $10 per tag deposit will be required if you replenish your Account by check or cash. 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 calling, e-mailing or writing to the New Jersey E-ZPass Customer Service Center requesting that your Account be closed, returning all of your 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. Tag(s) will remain the property of New Jersey E-ZPass under all circumstances. 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 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 (1-888-2886865) 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: NJ E-ZPass Cust. Service Center • P.O. Box 52001, Newark, NJ 07101-8201 General Inquiries and Correspondence: NJ E-ZPass Cust. Service Center • P.O. Box 4972, Trenton, NJ 08650 Tag Returns: NJ E-ZPass Cust. Service Center • P.O. Box 52003, Newark, NJ 07101-8203 Payments: NJ E-ZPass Cust. Service Center • P.O. Box 4973, Trenton, NJ 08650 Violation Inquiries: NJ E-ZPass Cust. Service Center • P.O. Box 4971, Trenton, NJ 08650 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. New Jersey Customer Service Center ■ For 2-axle individually owned/leased cars, pickup trucks, vans, or motorcycles ■ Or apply for E-ZPass on the internet with your credit card by visiting the E-ZPass website at www.EZPassNJ.com ■ For accounts needing more than four tags, or a commercial account application please call 1-888-AUTO-TOLL (1-888-288-6865) 1. APPLICANT’S PERSONAL INFORMATION (Individual Name Only) Last Name: City: State: MI: You must select a 4-digit PIN # Zip Code: Apt. Day Phone: Evening Phone: ( ( ) ) * E-mail (Provide your E-mail address ________________________________ E-mail or Regular Mail statements will be sent * Regular Mail monthly for the first six months upon opening an * Do not send statement account and then bi-monthly after six months. 2. VEHICLE INFORMATION List a vehicle for each tag requested and all vehicles that may be used. Tags are transferable among vehicles of the same type. (Please Check One) I would like to receive my statement: DO NOT add lease, rented or dealer vehicle plates! Vehicle Type: A - Auto/Sport Utility Vehicle/Minivan V - Van M - Motorcycle P - Pickup Truck License Plate Number (Please Print Clearly 3. PRE-PAYMENT CALCULATION State Vehicle Type Tag type: Year I - Interior E - Exterior (Please refer to attached Special Vehicle Listing) Make Model Tag Type Refer to the attached E-ZPass Plans and Tips before completing D. Discount Plans A. Number of Tags Requested (limit 4) Enter the Plan number from the attached list of E-ZPass Plans and the dollar amount, if any, from the website that describes the plan’s requirements. Multiple requests for tag specific plans must be listed separately. Certain vehicles require an exterior tag. Please refer to Special Vehicle Listing. Plan # B. Tag Deposit Due Plan Name Minimum Prepaid Amount $ $ • If you select credit card payment (Option 1 below) your deposit is waived. • If you select direct debit from bank account (Option 2 below) your deposit is waived. • If you select check / cash payment (Option 3 below) add a $10.00 refundable deposit for each tag ordered. C. Basic Plan $ $ $ $ E. Total Amount of Discount Plans $ F. Additional Prepaid Amount $ (If the total prepaid amount from selected plans will not cover the anticipated first month’s charges.) Your estimated monthly toll usage excluding discount plans or $25 initial prepaid toll minimum, whichever is greater. G. INITIAL PAYMENT (Add Lines B, C, E & F) $ 4. PAYMENT METHOD (Check one option) *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. 5. Credit Card Information Primary Credit Card Number: ⓰­­ SCHEDULE OF DEPOSITS/ADMINISTRATIVE FEES Monthly Statement Fee by mail/e-mail: $1.00 bi-monthly fee Monthly Membership Fee: $1.00 Per Tag deposit (cash or check customers): $10.00 Per Tag deposit (credit card or direct debit customers): waived Duplicate copy statement fee: $0.75 regular mail $0.11 e-mail 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 - 1/2015 Personal Identification Number First Name: Mailing Address (Provide home address if selecting a Resident Discount Plan) FOR MAILING: Please separate Application along perforation and return in mailing envelope. These Terms and Conditions, together with your application, constitute your 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: New Jersey E-ZPass Customer Service Center P.O. Box 52001 Newark, NJ 07101-8201 INDIVIDUAL APPLICATION Credit Card Type: * Visa Mastercard * Expiration Date: ______/______ Month Year Secondary Credit Card Number: American Express Credit Card Type: * Discover * Visa Mastercard * Expiration Date: ______/______ Month Year American Express * Discover 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 E-ZPass Applicant Signature Required: _____________________________________________________________ Date: ____/____/_____ 1/2015