E141A Form PDF Details

The E141A form plays a crucial role in the managed reporting and regulatory adherence of businesses within the alcohol beverage industry. This document, fully titled as the ABC Employee List, is mandated by the New Jersey Alcohol Beverage Control (NJABC) for all licensees engaging in the selling, serving, or delivery of alcoholic beverages. It serves as a comprehensive record, detailing personal and employment-related information of employees, including but not limited to their names, addresses, ages, places of birth, employment dates, and job titles. Furthermore, it addresses pivotal legal compliance inquiries, such as U.S. citizenship, criminal convictions, and the necessity for an ABC Rehabilitation (Rehab) Permit or Disqualification (Disqual) Removal for employees convicted of certain offenses. Of particular note is the stipulation for Class C Retail Licensees, clarifying conditions under which an ABC Rehab Permit or Disqual Removal is not required, excluding cases related to sex offenses or crimes of moral turpitude committed on licensed premises. This form must be meticulously filled out, updated regularly, and kept readily available for inspection by the NJABC or any law enforcement officer, thereby ensuring that businesses comply with regulatory standards and maintain a lawful, safe environment for both employees and patrons.

QuestionAnswer
Form NameE141A Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesnj abc employee form, abc employee form, abc employee list form, e141a

Form Preview Example

ABC EMPLOYEE LIST

 

 

 

 

 

 

 

THIS FORM MUST BE FULLY COMPLETED, KEPT ON THE

NAME OF LICENSEE

DOING BUSINESS AS OR TRADING AS

ABC LICENSE NUMBER

 

 

LICENSED PREMISES AND AVAILABLE AT ANY TIME FOR

 

 

 

INSPECTION BY THE NJABC OR ANY LAW ENFORCEMENT

 

 

 

OFFICER.

E-141 A (rev. 01-2013)

 

 

 

 

 

 

 

 

NAME

STREET ADDRESS

ACTUAL RESIDENCE WHILE EMPLOYED HERE STREET, CITY STATE AND ZIP CODE

AGE

DATE

OF

BIRTH

PLACE OF BIRTH

CITY AND STATE

IF NOT BORN IN U.S.A., CITY,

PROVINCE AND COUNTRY

U.S.

CITIZEN YES/NO

DATE

EMPLOYMENT

STARTED

DATE

EMPLOYMENT

ENDED

EMPLOYED AS

ACTUAL JOB TITLE

DO YOU

SELL, SERVE.

OR DELIVER

ALCOHOLIC

BEVERAGES?

YES / NO

EVER BEEN

CONVICTED

OF A

CRIME?

(1ST THROUGH 4TH DEGREE)?

YES / NO

***IS AN ABC

REHAB PERMIT

OR DISQUAL

REMOVAL

REQUIRED?

YES / NO

IF REQUIRED -

ABC

REHAB / DISQUAL

EMPLOYMENT

PERMIT

NUMBER

***For Class C Retail Licensees only - No ABC Rehab Permit or Disqual Removal is required if the employee is going to perform duties that do not involve serving, selling or soliciting the sale of any alcoholic beverage; participating in the mixing, processing or preparation of alcoholic beverages; providing security or admission-monitoring services for the premises; or providing or participating in any management or professional services.

HOWEVER, if the conviction was for a sex offense as set forth in NJSA 2C:7-2 (Megan’s Law) or a crime involving moral turpitude committed while on a licensed premises, an ABC Permit is still required.

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Step number 1 for submitting nj abc employee form

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nj abc employee form conclusion process detailed (part 2)

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