
Ffects of exposure to second hand smoke can be found on the websites of the American Cancer Society, The U.S. Surgeon General, The American Lung Society & others) I, , acknowledge that I Print name understand the risks of exposure to second-hand smoke Signature Date BARCODE LABEL FORM 180 REV 11/2015 Page 1 of 1.
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How to fill out the CIGAR SHOP EMPLOYEE WAIVER online
Filling out the Cigar Shop Employee Waiver online ensures that you comply with the legal requirements set forth by the Nebraska Liquor Control Commission. This guide provides step-by-step instructions to help you navigate the form with ease and understanding.
Follow the steps to successfully complete the waiver.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- In the first section, you will need to provide the liquor license number. Write it clearly in the designated space labeled 'LIQUOR LICENSE #'.
- Next, enter the licensee's name. This should be the name of the business or individual who holds the liquor license, as indicated in the section labeled 'LICENSEE NAME'.
- Fill in the trade name of the business in the 'TRADE NAME' field. This is typically the name under which the business operates.
- In the 'PREMISES ADDRESS' field, you will need to enter the complete address of the business premises, including the city.
- Provide the contact person's name and phone number in the respective fields. This should be someone who is available to answer questions related to the waiver.
- Finally, enter the email address of the contact person. This information is important for communication purposes.
- In the notice to employee section, make sure you read and understand the warning about second-hand smoke exposure. After this, print your name in the provided space.
- Sign your name in the designated area, confirming your acknowledgment of the risks associated with second-hand smoke exposure.
- Include the date of signing in the specified field to ensure the waiver is valid.
- Once you have completed all fields, review the document for accuracy. After verifying your information, you can save your changes, download the completed form, and print or share it if necessary.
Complete your documents online to ensure compliance and convenience.
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