N.J. Admin. Code § 13:69A-7.1A - Application for the issuance of registrations, licenses and natural person qualification

(a) An application for the initial issuance of a registration, license or for individual qualification shall include the following:

1. A completed original of the appropriate Personal History Disclosure (PHD) Form, as follows:

i. An applicant for a casino employee registration shall file a PHD-3 as set forth in N.J.A.C. 13:69A-5.5;

ii. An applicant required to qualify pursuant to N.J.S.A. 5:12-85.1a, b or e by virtue of his or her position with a casino licensee or applicant shall file the PHD Form required by N.J.A.C. 13:69C-2.6;

iii. An applicant required to qualify pursuant to N.J.S.A. 5:12-85.1c by virtue of his or her position with a holding company or intermediary company of a casino licensee or applicant shall file the PHD Form required by N.J.A.C. 13:69C-2.7;

iv. An applicant required to qualify pursuant to subsections 92a and b of the Act by virtue of his or her position with a casino service industry enterprise or junket enterprise shall file a Multi-Jurisdictional Personal History Disclosure Form and New Jersey Supplemental Form as set forth in N.J.A.C. 13:69A-5.2 and 5.2A, respectively; and

v. An applicant required to qualify pursuant to N.J.S.A. 5:12-93 by virtue of his or her position with a labor organization or affiliate shall file a Labor Organization Individual Disclosure Form as set forth in N.J.A.C. 13:69A-5.14;

2. The documents required for identification by N.J.A.C. 13:69A-7.2A;

3. A photograph of the applicant, taken within the preceding 12 months, which shall be attached to the original disclosure form;

4. Proof of fingerprinting in accordance with N.J.A.C. 13:69A-7.7; and

5. Any applicable fee required by N.J.A.C. 13:69A-9.8 through 9.16.

(b) Each applicant shall file a complete application pursuant to (a) above with the Division by mail or in person at the address specified on the application form.

(c) No application shall be accepted for filing unless the applicant is eligible for employment pursuant to N.J.A.C. 13:69A-1.3 and such application includes all materials required by (a) above, completed in accordance with the requirements of the Act and the rules of the Division and any instructions included with the disclosure form.

Notes

N.J. Admin. Code § 13:69A-7.1A