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The Statement of Intent to Employ Minor and Request for Work Permit form plays a crucial role in ensuring that minors can work legally while safeguarding their rights and well-being. This form is essential for employers who wish to hire individuals under the age of 18, as it outlines the intent to employ and requests the necessary work permit from the appropriate state authority. It requires specific information, including the minor's personal details, the nature of the job, and the hours they will work. Additionally, it emphasizes compliance with labor laws designed to protect young workers from exploitation and to ensure that their education is not compromised. Parents or guardians must also provide their consent, highlighting the importance of parental involvement in the employment process. By completing this form, employers not only fulfill legal obligations but also demonstrate a commitment to responsible hiring practices that prioritize the safety and development of young workers.
Dos and Don'ts
When filling out the Statement of Intent to Employ Minor and Request for Work Permit form, it's essential to approach the task with care. Here are ten important dos and don'ts to keep in mind:
- Do ensure that all information is accurate and complete.
- Don't leave any sections blank; every part of the form is important.
- Do double-check the minor's age to confirm eligibility for work.
- Don't submit the form without the necessary signatures from both the employer and the minor's parent or guardian.
- Do provide a clear description of the job duties and responsibilities.
- Don't use vague language; be specific about the work the minor will be doing.
- Do keep a copy of the completed form for your records.
- Don't forget to check the local laws regarding minor employment; they can vary by state.
- Do submit the form well in advance of the intended start date to avoid delays.
- Don't ignore any follow-up requests from the issuing authority; they may need additional information.
By following these guidelines, you can help ensure a smooth process when applying for a work permit for a minor.
Document Attributes
| Fact Name | Description |
|---|---|
| Purpose | The Statement of Intent to Employ Minor and Request for Work Permit form is used to obtain permission for a minor to work legally. |
| Eligibility | Minors typically aged 14 to 17 may apply for a work permit, subject to state-specific regulations. |
| Parental Consent | Most states require parental or guardian consent for minors to apply for a work permit. |
| Work Hour Restrictions | There are limitations on the number of hours minors can work, particularly during school days. |
| Governing Law | Each state has specific labor laws governing the employment of minors, which dictate the requirements for the form. |
| Employer Responsibility | Employers must complete the form and ensure compliance with all state labor laws regarding minor employment. |
| Submission Process | The completed form is usually submitted to the appropriate state agency or local school district for approval. |
| Expiration | Work permits for minors often have expiration dates and may need to be renewed periodically. |
| Types of Work | Certain types of work may be restricted or prohibited for minors, depending on state laws. |
| Record Keeping | Employers are generally required to keep records of work permits and hours worked by minors. |
Key takeaways
When filling out and using the Statement of Intent to Employ Minor and Request for Work Permit form, it is essential to keep several key points in mind. The following takeaways provide important guidance:
- The form must be completed accurately to ensure compliance with state labor laws.
- Both the employer and the minor's parent or guardian must sign the form.
- Information regarding the minor's age and intended work hours is crucial for approval.
- Employers should retain a copy of the completed form for their records.
- Work permits are typically required for minors under the age of 18.
- Submission of the form may be required before the minor begins employment.
- Different states may have specific regulations regarding the employment of minors, so it is important to check local laws.
Other PDF Templates
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Imm 5645 - It is protected under the Privacy Act and Access to Information Act.
Example - 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 |
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Street address |
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ZIP Code |
Home telephone |
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School name |
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Street address |
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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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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 |
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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.
Detailed Instructions for Writing Statement of Intent to Employ Minor and Request for Work Permit
Once you have the Statement of Intent to Employ Minor and Request for Work Permit form ready, it’s time to fill it out accurately. Completing this form is an essential step for ensuring that you comply with labor laws when hiring a minor. Follow these steps carefully to ensure that all required information is provided.
- Begin by entering the employer’s information. This includes the business name, address, and contact details.
- Next, fill in the minor’s personal information. Include their full name, date of birth, and home address.
- Indicate the job title that the minor will hold. Be specific about the role to avoid any confusion.
- Specify the work hours. Include the days of the week and the times the minor will be working.
- Provide details about the type of work the minor will be doing. Ensure that it complies with state regulations regarding minor employment.
- Complete the section regarding parent or guardian consent. This typically requires a signature from the minor’s parent or legal guardian.
- Review all the information for accuracy. Make sure there are no typos or missing details.
- Finally, submit the form to the appropriate local or state authority as required. Keep a copy for your records.
After you submit the form, the relevant authority will process it. You may receive a work permit for the minor, which allows them to begin working legally. Ensure that you keep all documentation organized and accessible for future reference.
Documents used along the form
When seeking to employ a minor, several important forms and documents accompany the Statement of Intent to Employ Minor and Request for Work Permit. Each document plays a crucial role in ensuring compliance with labor laws and protecting the rights of young workers. Below is a list of commonly used forms that facilitate this process.
- Parental Consent Form: This document requires the signature of a parent or legal guardian, granting permission for the minor to work. It often includes details about the nature of the job, hours of work, and any specific conditions related to the employment.
- Minor’s Employment Application: Similar to standard employment applications, this form collects essential information about the minor, including personal details, educational background, and previous work experience. It helps employers assess the suitability of the candidate for the job.
- Trailer Bill of Sale: Prior to any trailer ownership transfer, it is recommended to complete a Trailer Bill of Sale form. This document includes crucial details about the trailer and ensures all parties are legally protected in the transaction. For a reliable template, you can refer to NY Templates.
- Work Schedule: A detailed outline of the hours the minor is expected to work. This document ensures that the minor’s work hours comply with state regulations regarding youth employment, including limits on the number of hours worked per day and week.
- Job Description: This form provides a clear overview of the tasks and responsibilities associated with the minor’s position. It is essential for ensuring that the work is appropriate for the minor’s age and skill level, as well as for informing parents or guardians about the job’s nature.
- Health and Safety Acknowledgment: This document outlines the health and safety protocols that the minor must follow while on the job. It may require the minor and their guardian to acknowledge understanding of these protocols, emphasizing the employer's commitment to maintaining a safe working environment.
These documents collectively ensure that the employment of minors is conducted legally and ethically. By understanding and completing each form, employers can create a safe and compliant workplace for young workers.