Liquor License Reimbursement Form
For servers and bartenders that have at least 2 years of unbroken service with EJs or MJs.
Legal First Name
*
Legal Last Name
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date your renewed your liquor license
*
-
Month
-
Day
Year
Date
Your Hire Date
*
-
Month
-
Day
Year
Date
Location where you currently work
*
Eskimo Joe's
Mexico Joe's
Upload a copy of your receipt here
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload a copy of your license here
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Today's Date
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: