Report of Server, Seller or Manager Training All information on this report must be provided for each employee successfully trained and tested. — ABC LICENSE NUMBER: License Type TRAINED EMPLOYEE’S NAME Rvp-2/10-07 — License Number DATE OF BIRTH TRADE NAME: ______________________________________________________ County Code DATE HIRED DATE COURSE COMPLETED COURSE ID NUMBER TRAINER NOTE: This completed form, or an approved alternate format, must be submitted to the ABC Board, Responsible Vendor Program following successfully training and testing of employees. American LegalNet, Inc. www.FormsWorkflow.com