Free Work Permit Form in PDF

Free Work Permit Form in PDF

The Work Permit form serves as a structured application process for minors seeking employment, ensuring compliance with legal age and schooling requirements. It gathers essential information, including the student's personal details, proof of age, school affiliation, and specifics about the proposed employment, such as the nature of the job and working hours. To simplify the journey towards legally employing a minor, ensure the form is accurately and thoroughly completed. Don't hesitate to take the next step in compliance by clicking the button below.

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The Work Permit form serves as a crucial bridge between legal requirements and the practical aspects of employing minors. It meticulously captures essential details, starting from basic student/applicant information, including name, age, and proof of age, moving through the necessary physician’s certification, which confirms the minor's physical fitness to undertake the job. Moreover, the form requires acknowledgment from a parent or guardian, signifying their consent for the minor's employment. The intricacies of the labor relationship are accentuated by recording the employment specifics, such as the nature of employment, working hours, and employer pledges to comply with legal regulations concerning minor employment. Additionally, the form ensures protection and compliance with laws, emphasizing responsibilities on both the employer and the minor's guardian towards maintaining a legal and safe work environment. Such detailed documentation underscores the commitment to safeguarding minors in the workforce, highlighting the intersection of labor laws, educational commitments, and the health and safety of young workers.

Preview - Work Permit Form

APPLICATION FOR MINOR WORK PERMIT

STUDENT / APPLICANT INFORMATION

3331 02 ORC

4109 02 ORC

Name of Student / Applicant in full:

 

Sex:

 

 

Grade Level:

 

 

 

 

 

 

 

 

 

Male

 

Female

 

 

 

 

 

 

 

 

 

 

 

 

 

Proof of Age (Type of document):

 

Age:

Date of Birth:

 

Physician's certificate:

 

 

 

 

 

 

 

Submitted with

 

 

 

 

 

 

 

 

 

 

 

 

 

 

this application

 

 

 

 

 

 

 

 

Address of Student /Applicant:

 

 

 

 

 

 

 

Valid physician's certificate on file

School District:

 

Building:

 

 

 

 

 

 

 

 

Parent or Guardian:

Parent or Guardian Telephone Number:

Address of Parent or Guardian:

I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE ABOVE STATEMENTS ARE TRUE AND THAT THE MINOR

NAMED ABOVE WILL WORK WITH MY APPROVAL.

X

Signature of Parent or Guardian

Date Signed

THE NUMBER OF HOURS OR DAYS AND THE TIMES DISPLAYED BELOW OR ON THE FINAL PERMIT ARE FOR REGULATORY PURPOSES ONLY AND ARE NOT TO BE CONSTRUED IN

ANY WAY OR MANNER TO BE INDICATIVE OF A CONTRACT BETWEEN AN EMPLOYER AND THE EMPLOYEE.

I HEREBY CERTIFY THAT I HAVE EXAMINED AND APPROVED THE ABOVE NOTED DOCUMENTARY PROOF OF AGE.

X

Superintendent / Chief Adminstrative Officer / Designated Issuing Officer

Name of Office

Address of Office

PLEDGE OF EMPLOYER

-

Name of Firm:

Telephone Number at Minor's Work Location:

 

 

 

 

 

 

Address of Student /Applicant's Place of Employment, Job Site, or Work Location:

 

 

 

 

 

 

Specific Nature of Employment:

 

 

 

 

 

 

 

Employer's Tax ID Number (9 digits). THIS FIELD IS MANDATORY )~'

I

 

 

IF MINOR WORKS A VARIED OR

 

 

 

YES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IRREGULAR SCHEDULE ENTER

 

 

 

 

 

 

 

 

 

 

 

 

''REPRESENTATIVE" TIM~S IN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No. of Days Per Week: Hours Per Day: Starting Time:

Quitting Time:

ITEMS 1 THRU 4. ARE HOURS

 

 

 

 

TO BE WORKED WITHIN THE

 

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ILIMITS OF THE LAW?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

THE UNDERSIGNED HEREBY AGREES TO EMPLOY THE ABOVE NAMED CHILD IN ACCORDANCE WITH LAWS REGULATING THE EMPLOYMENT OF MINORS. THE EMPLOYER FURTHER AGREES TO GIVE MINOR A COPY OF THE WAGE AGREEMENT IN ACCORDANCE WITH SEC. 4109.42 ORC. THE EMPLOYMENT WILL BECOME EFFECTIVE AS SOON AS THE NECESSARY AGE AND SCHOOLING CERTIFICATE

IS VERIFIED BY THE EMPLOYER. THE EMPLOYER AGREES TO PERMIT THE CHILD TO ATTEND PART TIME SCHOOL WHEN SUCH IS AVAILABLE AND TO NOTIFY THE SCHOOL WITHIN FIVE DAYS AFTER THE EMPLOYMENT OF THE CHILD TERMINATES

PK

Signature of person authorized to sign for employer

Date signed

Telephone number

 

 

 

 

 

 

 

 

Address of employer if different from minor's place of employment

E-Mail address

 

LAWS COM 0000 (Repl.- Oho F.- 11 & 111)

(Optional- if employer wants notification in case of revocation)

PHYSICIAN'S CERTIFICATE FOR MINOR WORK PERMIT

3331 02 ORC

• 109.02ORC

APPLICANT INFORMATION

Name of Student I Applicant in full:

 

 

 

 

 

 

 

 

 

 

 

 

Sex:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Male

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of Birth:

Height:

 

 

Weight:

 

 

 

Color of Hair:

Color of Eyes:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ft.

in.

 

 

 

lbs.

 

 

 

 

 

 

 

 

Distinguishing Characteristics, if any:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Female

School District:

Building:

 

 

 

 

 

 

Parent or Guardian:

Parent or Guardian Telephone Number:

PHYSICIAN'S APPROVAL

 

 

 

 

 

 

 

 

 

 

I

 

I

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

THE UNDERSIGNED HEREBY CERTIFIES THAT THEY HAVE

NOTE: IF WORK SHOULD BE LIMITED TO A CERTAIN TYPE OF

 

THROUGHLY EXAMINED THE ABOVE NAMED APPLICANT WHO

EMPLOYMENT, THE PHYSICIAN MUST MARK THIS FORM

 

WAS BORN ON THE DATE STATED ABOVE AND WHO MEETS THE

ACCORDINGLY IN THE AREA BELOW.

 

 

 

DESCRIPTION GIVEN HEREON, AND THAY SAID PERSON;

 

 

 

 

 

 

 

 

IS

 

IS NOT

Limited Certificate:

 

YES

 

NO

 

 

 

 

 

 

 

IN THEIR OPINION PHYSICALLY FIT TO PERFORM THE WORK OF

 

 

 

 

 

 

ANY EMPLOYMENT NOT FORBIDDEN BY LAW TO A PERSON OF

If Marked YES;

 

 

 

 

 

THIS AGE AND SEX.

 

 

 

 

 

 

 

 

 

Employment should be Limited to Work Specified Below:

 

 

 

 

 

 

X

Physician's Signature

Date Signed

LAWS COM 0000 (Replaces OHIO FORM V)

Document Specs

Fact Detail
Application Title Application for Minor Work Permit
Governing Laws Sections 3331.02 and 4109.02 of the Ohio Revised Code (ORC)
Student/Applicant Information Required Full name, sex, grade level, proof of age, date of birth, physician's certificate, and address
Parental Consent Signature of parent or guardian confirming knowledge and approval of the work
Employer's Pledge The employer agrees to adhere to laws regulating the employment of minors and to provide the minor with a copy of the wage agreement in accordance with Section 4109.42 ORC
Physician's Certificate A valid physician's certificate is required, indicating the minor is fit for work, with the option for limitations to be specified
Regulatory Purpose of Work Hours Hours or days and times listed are for regulatory purposes only and not indicative of an employment contract

Instructions on Writing Work Permit

Filling out a work permit form is a straightforward process that requires careful attention to detail. This document is essential for minors seeking employment, ensuring they work under safe conditions and within the legal framework designed to protect their well-being. The form gathers comprehensive details about the minor, the employer, and the nature of the work to be performed. Follow these instructions carefully to ensure the application is completed accurately and efficiently.

  1. Student / Applicant Information:
    1. Write the full name of the student or applicant.
    2. Check the appropriate box for the student's sex.
    3. Indicate the student's grade level.
    4. Provide proof of age by specifying the type of document and fill in the age and date of birth fields.
    5. If available, indicate whether a valid physician's certificate is submitted with this application or is already on file.
    6. Enter the full address of the student/applicant.
    7. Specify the school district and building the student attends.
    8. Fill in the parent or guardian's name, telephone number, and address.
    9. The parent or guardian must sign and date the form to certify their approval.
  2. Superintendent / Chief Administrative Officer / Designated Issuing Officer Section:
    1. This section is to be completed by the issuing officer, who should examine and approve the provided proof of age.
    2. The officer's name, the name of the office, and the office address must be filled in.
    3. The officer must sign and date this section.
  3. Pledge of Employer Section:
    1. Fill in the name of the firm employing the minor.
    2. Provide the telephone number at the minor's work location.
    3. Indicate the address where the minor will be employed, including the job site or work location.
    4. Describe the specific nature of the employment.
    5. Enter the employer's tax ID number. Note, this field is mandatory.
    6. If the minor's work schedule varies, check the appropriate box and enter the representative days per week, hours per day, starting time, and quitting time.
    7. Confirm whether the work hours comply with legal limits.
    8. The employer or authorized representative must sign and date the form, providing contact information.
  4. Physician's Certificate for Minor Work Permit:
    1. Fill in the student/applicant's name, sex, date of birth, height, weight, color of hair, and eyes.
    2. List any distinguishing characteristics.
    3. The physician must examine the applicant and note whether they are physically fit for employment not forbidden by law for their age and sex.
    4. If employment should be limited to specific work, it must be indicated in the provided space.
    5. The physician signs and dates the form to certify the applicant's fitness for work.

Once all sections of the form are accurately completed, review the information to ensure its correctness. The completed form should then be submitted according to the specified instructions, typically by returning it to the issuing officer or the employer's HR department. Submission processes may vary, so it is advisable to confirm with the issuing officer or employer. Accurate and thorough completion of the work permit form is crucial for a smooth approval process, enabling minors to embark on their employment journey within the confines of the law.

Understanding Work Permit

What is a Work Permit and who needs one?

A Work Permit is a legal document required for minors who want to work in accordance with state laws. It ensures that the employment does not interfere with the minor's education and well-being. Minors need a Work Permit to legally work in many states, reflecting their ability to work within certain restrictions outlined by law.

How can a minor apply for a Work Permit?

To apply for a Work Permit, minors typically need to complete an "Application for Minor Work Permit," which requires information such as the minor's full name, age, proof of age, and school information. A physician's certificate verifying the minor's physical fitness for work, the parent or guardian's consent, and details about the prospective employment are also necessary components of the application. The completed application then needs approval from a superintendent, chief administrative officer, or designated issuing officer.

What is a physician’s certificate, and why is it required?

A physician's certificate is a document that confirms a minor's physical fitness for a particular job. It is required in the Work Permit application process to ensure that the minor is capable of safely performing the duties associated with their employment without jeopardizing their health. This certificate needs to be obtained from a licensed physician and submitted along with the Work Permit application.

Can a minor work any type of job with a Work Permit?

No, there are restrictions on the types of jobs minors can perform, even with a Work Permit. These restrictions are in place to protect minors from working in hazardous conditions or industries deemed inappropriate for their age. The specific nature of employment and the hours to be worked must comply with laws regulating the employment of minors. Employers must verify that the employment offered is within legal limits and agree to employ the minor accordingly.

What happens if a minor's employment situation changes?

If a minor's employment situation changes, such as ending employment with the current employer or changing job roles that may not fit within the original permit's restrictions, it is crucial for the employer to notify the school within five days after the termination of the child's employment. Additionally, if the minor seeks new employment, they may need to obtain a new Work Permit that reflects the new job's requirements and conditions, ensuring they continue to work within legal and safe parameters.

Common mistakes

Filling out a Work Permit form is a crucial step for minors seeking employment, but mistakes can happen during this process. One common error is not providing complete information in the Student / Applicant Information section. For instance, leaving out the date of birth or sex can result in delays. Every detail requested on the form, including the proof of age, plays a significant role in verifying the applicant's eligibility for work under legal age restrictions.

Another mistake often made is in the section requiring the Physician's certificate. Sometimes, this certificate is either not submitted with the application or is incomplete. The certificate is mandatory to ensure the minor is physically fit to perform the job they are applying for. It's essential to double-check that this certificate is filled out thoroughly and accurately reflects the minor’s health status.

Incorrectly filling out the Parent or Guardian section is also a frequent issue. This part of the form requires a signature to certify the parent or guardian’s approval of the minor's employment. Missing signatures, forgetting to date the signature, or providing inaccurate contact information can cause unnecessary setbacks in processing the application.

Employers must also pay close attention when filling out the Pledge of Employer section. Not entering the employer's Tax ID Number correctly is a common mistake. This 9-digit number is mandatory and crucial for verifying the employer's legitimacy and ensuring the employment arrangement adheres to legal standards. Additionally, accurately describing the specific nature of the employment ensures that the work assigned is appropriate and lawful for the minor.

Lastly, failing to specify the work schedule accurately under the Hours to be Worked section is a mistake that can have legal implications. If minors work a varied or irregular schedule, it should be clearly indicated. This information is vital to ensure compliance with laws regulating the employment of minors, including the number of hours a minor is permitted to work and at what times. It is in the best interest of both the employer and the minor to complete this section attentively to avoid violations of labor laws.

Documents used along the form

When navigating the process of acquiring a work permit, especially for minors, it's essential to understand that this often involves more than just completing an application. There are several other forms and documents commonly required, each playing a vital role in ensuring legal compliance and safeguarding the interests of the minor. Below is a list of these documents, which help create a comprehensive understanding of the minor's work conditions and eligibility.

  1. Proof of Age Document: This could be a birth certificate, passport, or any government-issued ID that verifies the minor's age. It's crucial for establishing eligibility for certain types of work.
  2. Parental Consent Form: A document where a parent or guardian consents to the minor's employment, indicating they approve of the job and working conditions. This form must be signed by the parent or guardian.
  3. School Attendance Certification: A statement from the minor's school confirming they are enrolled and attending school. This ensures that the minor's work does not interfere with their education.
  4. Physician's Certificate: Often required to ensure the minor is physically capable of performing the job without risking their health. This goes beyond the initial health certification that may be part of the work permit application.
  5. Employer’s Agreement: A document where the employer agrees to adhere to labor laws related to employing minors, including hours, wages, and working conditions.
  6. Wage Agreement: An agreement that outlines the minor's compensation. This document is important for transparency and to ensure fair pay for the work performed.
  7. Job Description: A detailed description of the duties the minor will be expected to perform. This helps in assessing whether the work is suitable and legal for minors.
  8. Emergency Contact Information: A form containing contact information for use in case of an emergency. It typically includes the minor’s parent or guardian's contact details.
  9. Part-time Schooling Agreement: If applicable, an agreement that allows the minor to attend school part time while working. This ensures that work does not hinder the minor’s education.

Each document plays a distinct role in the process, ensuring that the minor is protected, the employer complies with legal obligations, and the work experience is beneficial for the young worker. It’s a collective effort involving the employer, the minor, their parent or guardian, and often the school, aimed at creating a safe and positive work environment. Remember, the priority should always be the well-being and development of the minor, alongside compliance with state and federal laws.

Similar forms

The Employment Application is closely aligned with the Work Permit form in structure and intent. It typically gathers information regarding the applicant's personal details, work history, and qualifications, much like the Work Permit form collects data on the minor's school, personal information, and job specifics. Both documents serve as preliminary screens to ascertain the eligibility and suitability of the candidate for the position sought, ensuring that applicants meet basic requirements before proceeding further in the employment process.

A Job Offer Letter shares similarities with the section of the Work Permit form where the employer pledges to employ the minor. This document outlines the nature of the employment, work hours, and specific job responsibilities, similar to how a Job Offer Letter provides detailed information about the job role, start date, salary, and conditions of employment. Both serve to clarify the terms of employment, albeit to different audiences and within different legal frameworks.

The Age Certificate, which is sometimes required for youth employment verification, mirrors the Work Permit form's requirement for proof of age and school enrollment. This certificate acts as an official document verifying the minor’s age, similar to how the Work Permit form mandates the inclusion of age verification. Both documents help enforce labor laws designed to protect minors by ensuring they are of legal age to work and that their employment does not interfere with their education.

The Tax Withholding Form, such as the W-4, is another document that, while distinct in purpose, shares the element of personal information submission seen in the Work Permit form. It requires individuals to provide their personal and tax-related information to determine the correct amount of federal income tax to withhold from their paychecks. Like the Work Permit, it is a foundational step in formalizing the employment relationship, focusing on the financial aspect of employment rather than eligibility or fit.

An Onboarding Form that is filled by new hires to collect their professional and personal details for company records is quite similar to the Work Permit form filled out by minors. Both forms facilitate the integration of the new member into the organization or the workplace, ensuring that all necessary information is gathered for compliance, communication, and payroll purposes.

The Confidentiality Agreement, while primarily focused on the non-disclosure aspects of employment, incorporates elements of personal acknowledgment and agreement similar to the pledge sections of the Work Permit form. In both documents, the signatories - either the employee/minor or the employer - agree to adhere to certain conditions associated with their role. For the Work Permit, it's about abiding by labor laws; for the Confidentiality Agreement, it's about protecting sensitive information.

Lastly, the Direct Deposit Authorization Form, required for setting up salary payments, parallels the Work Permit form in its role of initializing a key aspect of the employment arrangement. By providing banking details or verifying legal capacity to work, respectively, both forms help streamline administrative processes, ensuring that logistical and legal prerequisites are met before employment commences or continues.

Dos and Don'ts

Filling out a Work Permit form correctly is crucial to securing employment legally and safely, especially for minors. Here are some guidelines to ensure the process goes smoothly.

Do:

  1. Ensure all information is accurate: Double-check each section for accuracy, including personal details, contact information, and job specifics.
  2. Provide accurate proof of age: Attach the appropriate document as proof of age, as this is mandatory for the work permit application.
  3. Include a valid physician's certificate: The form requires a physician’s certificate stating the minor is fit for the type of work they will be performing.
  4. Obtain parent or guardian consent: A parent or guardian’s signature is necessary to validate the minor's application for a work permit.
  5. Review hours and scheduling: Ensure the hours and days specified comply with legal regulations for minor employment.

Don't:

  1. Leave sections incomplete: Every section of the form should be filled out. Incomplete forms are likely to be rejected.
  2. Guess on dates or details: Provide exact information wherever possible, especially in sections requiring dates or specific times.
  3. Sign without reading: Every individual, including the minor, parent or guardian, and employer should thoroughly review the form before signing.
  4. Ignore the legal requirements: Familiarize yourself with the laws regulating employment for minors to ensure compliance.
  5. Submit without reviewing for errors: Check the entire application for mistakes or typos before submission. Errors can delay the process.

Following these guidelines will help streamline the work permit application process, ensuring legal compliance and protecting the rights and safety of minor employees.

Misconceptions

Many people have misconceptions about the Work Permit form, especially concerning minors applying for jobs. Clearing up these misunderstandings is important to navigate the process effectively. Here are six common misconceptions:

  • Any physician's certificate will suffice: Some believe that any form of a doctor's note is acceptable when applying for a work permit. However, the form specifically requires a valid physician's certificate, indicating that the minor is physically fit for employment, adhering to specific state guidelines and standards.
  • Parental approval is not required if the minor is of a certain age: Regardless of the minor's age, parental or guardian approval is explicitly needed as part of the application process. This requirement ensures that the minor has consent from a parent or guardian to work.
  • Hours worked are flexible and not bound by the permit: The notion that once the work permit is granted, the minor can work any hours is incorrect. The form clearly states that the hours and days listed are for regulatory purposes, highlighting that employment must comply with laws regulating the hours minors are permitted to work.
  • Employment begins immediately upon submitting the form: The employment is only effective once the employer has verified the necessary age and schooling certificate. Simply submitting an application does not mean the minor can start working right away.
  • The work permit is universal for any job: Some may think that once a work permit is obtained, it can be used for any employment. This is not true, as the permit requires details about the specific nature of employment, and if limited by the physician, to certain types of work.
  • An employer's Tax ID is not crucial: There is a misconception that the employer's Tax ID number is optional. However, the form mandates the inclusion of a 9-digit Tax ID number, emphasizing its importance in the application process.

Understanding these misconceptions and the actual requirements of the Work Permit form can streamline the process for minors seeking employment, ensuring compliance with legal obligations and safeguarding their well-being in the workplace.

Key takeaways

When applying for a Work Permit, accuracy and thoroughness are crucial. Here are four key takeaways to consider:

  • Complete Every Section: Every field in the Work Permit application needs to be filled out completely. This includes personal information about the student/applicant, such as full name, age, date of birth, and proof of age document. Incomplete applications might delay the process.
  • Parental and School Approval: A signature from a parent or guardian is mandatory, indicating their approval of the minor's intended employment. Additionally, the application requires certification by a superintendent, chief administrative officer, or designated issuing officer, validating the minor's age and school attendance.
  • Physician's Certificate: The health and physical ability of the minor to perform work are important. A physician’s certificate is required to confirm that the minor is physically fit to engage in the employment, specifying whether certain types of work are recommended or should be avoided.
  • Employer’s Responsibility: The employer plays a significant role in the Work Permit process. They must fill out parts of the form, including the job description, work hours, and agree to comply with laws governing the employment of minors. The employer also agrees to provide the minor with a wage agreement and to inform the school if the minor's employment ends.

Ensuring that all stakeholders—parents or guardians, the school, and employers—understand their roles and responsibilities in the Work Permit process is essential for seamless and lawful employment of minors.

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