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When it comes to employing minors, the process is not just a simple matter of hiring young talent; it involves navigating specific legal requirements designed to protect their rights and ensure their safety in the workplace. One crucial step in this journey is the completion of the Statement of Intent to Employ Minor and Request for Work Permit form. This form serves as a formal declaration from employers expressing their intent to hire individuals under the age of 18, while also requesting the necessary work permit from the appropriate state authorities. It outlines essential information, including the minor's personal details, the nature of the job, and the hours they are expected to work. Additionally, it emphasizes the employer's commitment to adhering to labor laws that govern the employment of minors, such as limitations on working hours and conditions. By properly filling out this form, employers not only comply with legal obligations but also demonstrate their dedication to fostering a safe and supportive environment for young workers. Understanding the intricacies of this form is vital for both employers and minors alike, as it lays the groundwork for a positive and lawful working experience.
Document Specifics
| 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 | This form is typically required for minors under the age of 18 who wish to work in various employment sectors. |
| Governing Laws | Each state has specific labor laws governing the employment of minors, often outlined in their labor codes. |
| Parental Consent | In most cases, the form requires a parent or guardian's signature to ensure consent for the minor's employment. |
| Job Restrictions | There are restrictions on the types of jobs minors can perform, which vary by state and age group. |
| Hours of Work | States regulate the number of hours minors can work, particularly during school sessions and summer breaks. |
| Submission Process | The completed form must be submitted to the appropriate state labor department or school district office. |
| Validity Period | Work permits issued for minors usually have a limited validity period and may need renewal after a certain time. |
| Record Keeping | Employers are required to keep records of work permits for minors as part of compliance with labor laws. |
Similar forms
- Employment Application: This document is often the first step in the hiring process. It collects essential information about the applicant, similar to how the Statement of Intent to Employ Minor gathers details about the minor seeking employment.
- Parental Consent Form: Just as the Statement of Intent requires parental approval for a minor to work, a parental consent form is used to obtain permission from a parent or guardian for various activities, including employment.
- Work Experience Letter: This document outlines the responsibilities and experiences a minor will gain while working. It serves a similar purpose to the Statement of Intent by detailing the nature of the employment and ensuring it aligns with the minor's development.
- Job Offer Letter: After a successful application process, a job offer letter formalizes the employment terms. Like the Statement of Intent, it confirms the employer's intention to hire and outlines the job specifics.
- Tax Forms (W-4): These forms are necessary for tax withholding purposes. They are similar to the Statement of Intent in that they ensure compliance with legal requirements for employing minors.
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RV Bill of Sale: Essential for documenting the sale of a recreational vehicle in Arizona, this form includes critical details about the buyer, seller, and the vehicle for clarity. For a comprehensive template, refer to Arizona PDF Forms.
- Health and Safety Policy Acknowledgment: This document ensures that employees understand workplace safety protocols. It parallels the Statement of Intent by emphasizing the importance of a safe working environment for minors.
Statement of Intent to Employ Minor and Request for Work Permit Example
Statement of Intent to Employ Minor and Request for Work Permit
Not a work permit
For Minor to Complete
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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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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.
Understanding Statement of Intent to Employ Minor and Request for Work Permit
What is the Statement of Intent to Employ Minor and Request for Work Permit form?
This form is a necessary document for employers who wish to hire minors. It outlines the employer's intent to employ a minor and requests permission for the minor to work. The form ensures that the employment complies with state and federal labor laws, which are designed to protect the welfare of minors in the workforce.
Who needs to fill out this form?
Employers who intend to hire individuals under the age of 18 must complete this form. Additionally, the minor’s parent or legal guardian may need to sign the form, indicating their consent for the minor to work. It is crucial that both parties understand the terms of employment and the regulations surrounding it.
What information is required on the form?
The form typically requires the employer’s information, including the business name, address, and contact details. It also asks for the minor’s personal information, such as their name, age, and date of birth. Furthermore, the form may require details about the job position, work hours, and any specific tasks the minor will perform.
How is the completed form submitted?
What happens after the form is submitted?
After submission, the relevant agency will review the form to ensure that all information is complete and accurate. If approved, a work permit will be issued, allowing the minor to begin employment. Employers should retain a copy of the approved form for their records and ensure compliance with any additional regulations regarding minor employment.
Dos and Don'ts
When filling out the Statement of Intent to Employ Minor and Request for Work Permit form, it’s important to approach the task with care. Here are some key dos and don’ts to keep in mind:
- Do ensure all information is accurate and complete. Double-check names, addresses, and dates.
- Do provide a valid reason for employing the minor. Clearly explain the nature of the job and its benefits.
- Do obtain the necessary signatures. Make sure both the employer and the minor’s parent or guardian sign the form.
- Do submit the form well in advance of the intended start date. Allow time for processing.
- Don’t leave any sections blank. Each part of the form is important for the approval process.
- Don’t provide misleading information. Honesty is crucial in maintaining compliance with labor laws.
- Don’t forget to check for any specific state requirements. Different states may have additional rules.
- Don’t rush through the process. Take your time to ensure everything is filled out correctly.
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