Skip to form

City of Passaic

Weatherly Frias, City Clerk 330 Passaic Street, Room 103 Passaic, NJ, 07055, US



Alcoholic Beverage Control Members:

Edwin Garcia, Chairman
Jose Vargas, Commissioner
Judith Sanchez, Commissioner

SeamlessDocs

Signature HereClick to Sign

Create Your Signature

Please fill in your name and email and then either draw or type your signature below.

x

Signature Type

Type Draw Upload Custom
Clear Signature

Signature will be applied to the page. You will have a chance to review after signing.

Check this box to continue

x

Additional Signatures Required

Upload Attachment(s)

Please upload the following attachments:


  • PROOF THAT YOU REGISTERED AND PAID ONLINE (ABC POSSE SYSTEM)


  • COPY OF YOUR CERTIFICATE OF OCCUPANCY (C.O.) Must reflect Occupancy load
  • COPY OF LIABILITY INSURANCE FOR YOUR ESTABLISHMENT (current policy)
  • COPY OF EMPLOYEE LIST (All managers listed on the employee list must be fingerprinted)


There is a 250MB limit on each attachment.

PROOF THAT YOU REGISTERED AND PAID ONLINE (ABC POSSE SYSTEM) Click Here to Upload
COPY OF YOUR CERTIFICATE OF OCCUPANCY (C.O.) Must reflect Occupancy load Click Here to Upload
COPY OF LIABILITY INSURANCE FOR YOUR ESTABLISHMENT (current policy) Click Here to Upload
COPY OF EMPLOYEE LIST (All managers listed on the employee list must be fingerprinted) Click Here to Upload