PRIVATE DETECTIVE EMPLOYEE’S STATEMENT （私人侦探员工的声明）.pdfVIP

PRIVATE DETECTIVE EMPLOYEE’S STATEMENT Division of State Police Department of Law and Public Safety State of New Jersey All information entered on this form is considered to be offered as a sworn statement. Any misstatement of fact is reason for disqualifi cation for employment, or may be punishable by law as per N.J.S. 2C:28-2, 2C:28-3 and 2C:28-7. No person shall be employed by any holder of a private detective license until such person to be employed shall have executed and furnished to such license certifi cate holder the following statement, pursuant to the provisions of “The Private Detective Act of 1939” as amended by Chapter 152, Laws of 1948. A copy of the Sagem Morpho Receipt must be attached to this statement as proof of fi ngerprinting. The statement must be made in the handwriting of the person to be employed by the holder of a private detective license and must be retained by the employer. Employee’s Number ____________. All employees’ statements must be numbered consecutively, commencing with Number 1. A number once assigned cannot be used for any other employee. Upon a subsequent rehire of any employee, that employee should again be assigned his old number. The number entered here must be identical with the number entered on the fi ngerprint sheets. Employer: To be completed in indelible ink. Name of Licensee: ______________________________________________________________________ Trading as: ____________________________________________________________________________ Address:______________________________________________________________________________ Date License Issued: __________________________ Number of License: _________________________ 1. a. Name of Employee in