Liquor License and Serve Safe Agreement

Liquor License and Serve Safe Agreement
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Team Member's Legal Name
Team Member's Email
example@example.com
Manager's Name
Liquor License Amount
Serve Safe Cert Amount
Total Paid by Co
Number of Paychecks
Amount per Paycheck
I do hereby authorize Mexico Joe's, Inc. to deduct the balance owed for my liquor license and Serve Safe Certification from the number of paychecks specified above. If termination of employment is made prior to receiving the license and/or certification, I authorize Mexico Joe's, Inc. to deduct the unpaid balance from my final paycheck. I understand that it is my responsibility to pay back the amount owed in full.
TEAM MEMBER'S SIGNATURE
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
MANAGER'S SIGNATURE
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Managers - please code to GL account #1340.
Should be Empty: