New Jersey Administrative Code
Title 13 - LAW AND PUBLIC SAFETY
Chapter 69A - APPLICATIONS
Subchapter 15 - CONVERSION OF CASINO EMPLOYEE LICENSE
Section 13:69A-15.3 - Contents of an application to convert a casino employee license to a casino employee registration

1. A completed Casino Employee License Conversion Application, as set forth in 13:69A-5.5C, signed by the applicant and notarized by a person authorized to administer oaths. This form shall contain all information since the applicant's initial application for licensure or action date on that license's last submission;

2. A Release Authorization signed by the applicant and notarized by a person authorized to administer oaths in the State of New Jersey, which Release Authorization shall direct all courts, probation departments, selective service boards, employers, education institutions, banks, financial and other institutions, and all governmental agencies, Federal, state and local, both domestic and foreign, to release any and all information pertaining to the applicant as requested by the Division;

3. Payment of the appropriate registration fee due in accordance with 13:69A-9.16; and

4. The documents required for identification by 13:69A-7.2A.