Structure
When young individuals seek to enter the workforce, understanding the necessary steps and requirements is crucial for both them and their employers. One important document in this process is the Statement of Intent to Employ Minor and Request for Work Permit form. This form serves as a formal request for permission to employ minors, ensuring that their work aligns with state laws regarding age restrictions and working conditions. Employers must provide specific information about the job, including the nature of the work, hours of operation, and the minor’s role. Additionally, parental consent is a vital component, as it protects the rights and welfare of young workers. Completing this form accurately not only helps employers comply with legal obligations but also safeguards minors as they embark on their first job experiences. By understanding the nuances of this form, both employers and young workers can navigate the employment landscape more effectively, fostering a safe and productive work environment.
Common mistakes
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Incomplete Information: One common mistake is leaving sections of the form blank. Each part of the form must be filled out completely. Missing information can lead to delays or denials in processing the work permit.
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Incorrect Dates: Providing incorrect or inconsistent dates can create confusion. Ensure that the start date of employment and any other relevant dates are accurate and match throughout the document.
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Wrong Signatures: It's essential to have the right signatures on the form. The employer and the minor's parent or guardian must both sign. A missing signature can render the application invalid.
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Failure to Include Required Documents: Supporting documents are often necessary for the application. Not attaching proof of age or identification can result in the application being rejected.
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Not Understanding Employment Restrictions: Minors have specific restrictions regarding the type of work they can do and the hours they can work. Failing to comply with these rules can lead to complications.
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Neglecting to Review for Errors: Before submitting, it’s crucial to double-check the entire form for any typographical errors or inaccuracies. Simple mistakes can cause significant delays.
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Ignoring Local Regulations: Each state may have its own specific requirements for employing minors. Not being aware of local laws can lead to non-compliance and potential legal issues.
Preview - Statement of Intent to Employ Minor and Request for Work Permit Form
Statement of Intent to Employ Minor and Request for Work Permit
Not a work permit
For Minor to Complete
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Write number in after printing |
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Minor’s name (last name first) |
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Social security number |
Date of birth |
Age |
Grade |
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Street address |
City |
ZIP Code |
Home telephone |
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School name |
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Street address |
City |
ZIP Code |
School telephone |
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For Employer to Complete (Please review rules for employment of minors on reverse.)
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Name of business
Street address |
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ZIP Code |
Business telephone |
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Minor’s work duties |
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Hourly wage |
Maximum number of hours of employment when school is in session:
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Tues. |
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Thurs. |
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Fri. |
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Sat. |
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Sun. |
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Weekly = 0.00 |
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In compliance with California labor laws, this employee is covered by worker’s compensation insurance. This business does not discriminate unlawfully on the basis of race, ethnic background, religion, sex, sexual orientation, color, national origin, ancestry, age, physical handicap, or medical condition. I hereby certify that, to the best of my knowledge, the information herein is correct and true.
Supervisor’s signature |
Supervisor’s name (print or type) |
For Parent or Guardian to Complete
This minor is being employed at the place of work described with my full knowledge and consent. I hereby certify that, to the best of my knowledge, the information herein is correct and true. I request that a work permit be issued.
In addition to this employer, my child is working for:
Name of business
Signature of parent or legal guardian |
Date |
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For School to Complete
Type: Regular
Evidence of minor’s age
Vacation
Signature of verifying authority
Work Experience Education
Other (specify)
CALIFORNIA DEPARTMENT OF EDUCATION FORM |
IMPORTANT: See reverse side for additional information. |
General Summary of Minors’ Work Regulations
•If federal laws, state laws and school district policies conflict, the more restrictive law (the one most protective of the employee) prevails.
•Generally, minors must attend school until age 18 unless they are 16 years or older and have graduated from high school or received a state Certificate of Proficiency.
•Employers of minors required to attend school must complete a “Statement of Intent to Employ Minor and Request for Work Permit” (form
•Employers must retain a “Permit to Employ and Work” (form
•Work permits
•A work permit
Minors under the age of 18 may not work in environments declared hazardous or dangerous for young workers as listed below:
1.Explosive exposure
2.Motor vehicle driving/outside helper
3.Coal mining
4.Logging and sawmilling
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6.Radiation exposure
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9.Other mining
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13.Manufacturing brick, tile products
14.Power saws and shears
15.Wrecking, demolition
16.Roofing
17.Excavation operation
For more complete information about hazardous occupations, contact the U.S. Department of Labor (Child Labor Bulletins 101 and 102) and the California Department of Industrial Relations, Division of Labor Standards Enforcement. Regional offices are located in several California cities. They are listed in the “Government Listings” sections of telephone directories.
•Minors younger than 16 years are allowed to work only in limited, specified occupations that exclude baking, manufacturing, processing, construction, warehouse, and transportation occupations.
•In addition to safety regulations, labor laws applicable to adult employees also generally apply to minor employees, including workers’ compensation insurance requirements.
•Child labor laws do not generally apply to minors who deliver newspapers or work at odd jobs, such as yard
work and
•A day of rest from work is required if the total hours worked per week exceed 30 or if more than 6 hours are worked on any one day during the week.
Ages |
Hours of Work |
16 – 17 When school is in session: Daily maximum of 4 hours, Monday through Thursday. May work up to 8 hours on any
When school not in session: May work up to 48 hours per week but no more than 8 hours in any one day.
Work must be performed no earlier than 5 a.m. or later than 10 p.m. except that work may extend to 12:30 a.m. on nights preceding non- school days. Students in Work Experience Education or cooperative vocational education programs may be authorized to work until 12:30 a.m. on nights preceding school days with specified written permission.
14 – 15 When school is in session: On school days daily maximum 3 hours. On
When school is not in session: Daily maximum 8 hours and weekly maximum 40 hours.
May not work during public school hours except students in Work Experience Education or career exploration programs.
Work must be performed no earlier than 7 a.m. nor later than 7 p.m. any day of the week. From June 1 to Labor Day work hours may be extended to 9 p.m.
Younger Labor laws generally prohibit nonfarm than 14 employment of children younger than 14.
Special rules apply to agricultural work, domestic work and the entertainment industry.
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Documents used along the form
When seeking to employ a minor, several important forms and documents are often required alongside the Statement of Intent to Employ Minor and Request for Work Permit. These documents help ensure compliance with labor laws and protect the rights of young workers. Below is a list of commonly used forms that accompany the work permit process.
- Parental Consent Form: This document requires the signature of a parent or legal guardian, granting permission for the minor to work. It ensures that the family is aware of and agrees to the employment terms.
- Mobile Home Bill of Sale: This document is crucial for the transfer of ownership of a mobile home in Utah, ensuring a legal and clear sale process. For more information, you can refer to the Mobile Home Bill of Sale.
- Employment Application: An employment application collects information about the minor's qualifications, work experience, and availability. It serves as a formal introduction to the employer and helps assess the minor’s suitability for the job.
- Age Verification Document: This may include a birth certificate or another official document that verifies the minor's age. Employers need to confirm that the minor meets the legal age requirements for employment.
- Job Description: A clear outline of the job responsibilities, hours, and working conditions. This document helps both the employer and the minor understand the expectations and legal limitations of the role.
Gathering these documents is essential for a smooth hiring process. Each form plays a vital role in ensuring that the employment of minors is conducted legally and ethically, providing a safe and supportive work environment for young individuals.
Similar forms
The Employment Certificate is a document that serves a similar purpose to the Statement of Intent to Employ Minor and Request for Work Permit. It is often required by employers to verify that a minor has permission to work. This certificate typically outlines the details of the employment, including the job description, hours, and the employer's information. Just like the work permit request, it ensures that the employment complies with state labor laws protecting minors.
Another document that parallels the Statement of Intent is the Parental Consent Form. This form is crucial for minors seeking employment, as it requires a parent or guardian's approval. The consent form not only signifies that the parent understands the nature of the job but also acknowledges the hours and conditions under which the minor will work. Both documents emphasize the importance of parental involvement in a minor's employment decisions.
The Child Labor Law Compliance Certificate is also similar. This certificate confirms that the employer is aware of and compliant with state laws regarding child labor. It outlines the specific regulations that apply to the employment of minors, ensuring that the minor's rights are protected. Like the work permit, this document aims to safeguard minors from exploitation in the workplace.
The importance of having proper documentation in any motor vehicle transaction cannot be overstated, as it ensures both parties are protected and informed throughout the process. For those involved in buying or selling a vehicle in Pennsylvania, the https://autobillofsaleform.com/pennsylvania-motor-vehicle-bill-of-sale-form provides a comprehensive framework to facilitate a smooth and legally binding transfer of ownership, thus safeguarding the interests of both buyers and sellers.
The Age Verification Document is another related form. This document is used to confirm a minor's age, which is essential for employers to ensure compliance with labor laws. By providing proof of age, such as a birth certificate or school identification, the minor can legally work. This verification process is an important step in the overall employment process, similar to obtaining a work permit.
The Job Offer Letter can also be seen as similar in function. This letter is provided by the employer to the minor and outlines the terms of employment, including job responsibilities, pay rate, and work hours. It serves as a formal agreement between the employer and the minor, much like the Statement of Intent, which lays the groundwork for the work permit process.
The Work Permit Application is a direct counterpart to the Statement of Intent. This application is filled out by the minor or their employer to request permission from the appropriate state agency to work. It collects essential information about the minor and the job, ensuring that all legal requirements are met before employment begins. Both documents are integral to the employment process for minors.
Similarly, the School Authorization Form is relevant. This form is often required by schools to ensure that the minor’s employment does not interfere with their education. It may need to be signed by a school official, indicating that the minor is maintaining satisfactory academic performance. This form, like the work permit, emphasizes the balance between work and education for minors.
Lastly, the Health and Safety Acknowledgment Form is another document that shares similarities. This form is designed to inform minors about workplace safety regulations and health standards. It ensures that minors understand their rights and responsibilities in a work environment. Both this acknowledgment and the work permit serve to protect the minor's well-being while they are employed.
Dos and Don'ts
When filling out the Statement of Intent to Employ Minor and Request for Work Permit form, it’s important to follow certain guidelines. Here’s a list of things you should and shouldn’t do:
- Do provide accurate information about the minor’s age and identity.
- Do ensure that both the employer and the minor’s parent or guardian sign the form.
- Do double-check the form for any errors before submitting it.
- Do keep a copy of the completed form for your records.
- Don't leave any required fields blank; fill in all necessary information.
- Don't submit the form without verifying the work conditions comply with state laws.
- Don't forget to check the expiration date of the work permit before applying.
Key takeaways
When filling out the Statement of Intent to Employ Minor and Request for Work Permit form, keep these key takeaways in mind:
- Ensure all sections of the form are completed accurately to avoid delays.
- Provide the minor's full name, date of birth, and address clearly.
- Include the employer's information, such as the business name and address.
- Specify the type of work the minor will be doing and the expected hours.
- Both the employer and the minor’s parent or guardian must sign the form.
- Submit the completed form to the appropriate state agency for approval.
- Keep a copy of the form for your records after submission.
- Be aware of state-specific regulations regarding minor employment and work permits.
Following these steps will help ensure a smooth process in obtaining the necessary work permit for minors.
How to Use Statement of Intent to Employ Minor and Request for Work Permit
Completing the Statement of Intent to Employ Minor and Request for Work Permit form is an essential step in ensuring that a minor can work legally. Once the form is filled out accurately, it will be submitted to the appropriate authorities for approval. Following this, the minor will receive a work permit, allowing them to begin their employment. Here are the steps to fill out the form:
- Begin by gathering all necessary information about the minor, including their full name, date of birth, and address.
- Provide the name and address of the employer who intends to hire the minor.
- Clearly state the job title and describe the nature of the work the minor will be performing.
- Indicate the hours the minor will be working, including start and end times for each workday.
- Fill in the expected start date and the duration of the employment.
- Sign and date the form, ensuring that the signature belongs to a parent or guardian if the minor is under a certain age.
- Review the completed form for accuracy and completeness before submission.
Once the form is submitted, the minor can anticipate receiving their work permit, which will allow them to start their new job legally and responsibly.