"Employee's Badge List" - Florida

Employee's Badge List is a legal document that was released by the Florida Department of Agriculture and Consumer Services - a government authority operating within Florida.

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EMPLOYEE’S BADGE LIST
 
Date: ________________________________ Employer: ______________________________________
You are requested to list hereunder the names of all persons who will be employed by you while you are
racing in the State of Delaware.
STABLE: ____________________________ TRAINER: _____________________________________
Date Added to List:
DHRC License No:
Name of Employee:
Date Deleted from List:
1. _______________________________________________________________________________
2. _______________________________________________________________________________
3. _______________________________________________________________________________
4. _______________________________________________________________________________
5. _______________________________________________________________________________
6. _______________________________________________________________________________
7. _______________________________________________________________________________
8. _______________________________________________________________________________
9. _______________________________________________________________________________
10. _______________________________________________________________________________
11. _______________________________________________________________________________
12. _______________________________________________________________________________
13. _______________________________________________________________________________
14. _______________________________________________________________________________
15. _______________________________________________________________________________
Telephone Number: __________________________
Signature: ________________________________
INSURANCE COMPANY: _______________________________________________________________
Policy No: _________________________________
Expiration Date: ____________________________
***IMPORTANT: ALL GROOMS must have a CURRENT Delaware Harness Racing Commission License.
EMPLOYEE’S BADGE LIST
 
Date: ________________________________ Employer: ______________________________________
You are requested to list hereunder the names of all persons who will be employed by you while you are
racing in the State of Delaware.
STABLE: ____________________________ TRAINER: _____________________________________
Date Added to List:
DHRC License No:
Name of Employee:
Date Deleted from List:
1. _______________________________________________________________________________
2. _______________________________________________________________________________
3. _______________________________________________________________________________
4. _______________________________________________________________________________
5. _______________________________________________________________________________
6. _______________________________________________________________________________
7. _______________________________________________________________________________
8. _______________________________________________________________________________
9. _______________________________________________________________________________
10. _______________________________________________________________________________
11. _______________________________________________________________________________
12. _______________________________________________________________________________
13. _______________________________________________________________________________
14. _______________________________________________________________________________
15. _______________________________________________________________________________
Telephone Number: __________________________
Signature: ________________________________
INSURANCE COMPANY: _______________________________________________________________
Policy No: _________________________________
Expiration Date: ____________________________
***IMPORTANT: ALL GROOMS must have a CURRENT Delaware Harness Racing Commission License.