The Statement of Intent to Employ Minor and Request for Work Permit form is a crucial document for young individuals seeking employment before reaching adulthood. This form ensures that the employment of minors complies with legal standards, safeguarding their rights and well-being. For those ready to take the step towards gaining work experience, filling out this essential form is the first action to take—click the button below to start the process.
Navigating the legal landscape of youth employment can often seem daunting. Both employers and young workers are required to adhere to specific regulations designed to ensure the safety, welfare, and educational opportunities for minors. In this context, the Statement of Intent to Employ Minor and Request for Work Permit form emerges as a crucial document. This form serves multiple purposes; it is not only a declaration by employers of their intent to hire a young person but also acts as an application for the necessary legal authorization for minors to engage in work. Key sections of this form require information about the minor’s personal details, the prospective job description, hours of work, and a signature from a legal guardian or parent acknowledging the work engagement. Additionally, it demands a certification by the minor’s school, indicating that the employment will not adversely affect their education. This process underscores a collective responsibility towards maintaining a balance between work and education for minors, aiming to protect minors’ rights while fostering a healthy work environment.
Statement of Intent to Employ Minor and Request for Work Permit
Not a work permit —Print all information except signatures
For Minor to Complete
•
Write number in after printing
Minor’s name (last name first)
Social security number
Date of birth
Age
Grade
Street address
City
ZIP Code
Home telephone
School name
School telephone
For Employer to Complete (Please review rules for employment of minors on reverse.)
Name of business
Business telephone
Minor’s work duties
Hourly wage
Maximum number of hours of employment when school is in session:
Mon.
Tues.
Wed.
Thurs.
Fri.
Sat.
Sun.
Weekly = 0.00
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:
Signature of parent or legal guardian
Date
For School to Complete
Type: Regular
Evidence of minor’s age
Vacation
Year-Round
Signature of verifying authority
Work Experience Education
Other (specify)
CALIFORNIA DEPARTMENT OF EDUCATION FORM B1-1 (revised 6/03)
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 B1-1) for the school district of attendance for each such minor.
•Employers must retain a “Permit to Employ and Work” (form B1-4) for each such minor.
•Work permits (B1-4) must be retained for three years and be available for inspection by sanctioned authorities at all times.
•A work permit (B1-4) must be revoked whenever the issuing authority determines the employment is illegal or is impairing the health or education of the minor.
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
5.Power-driven woodworking machines
6.Radiation exposure
7.Power-driven hoists/forklifts
8.Power-driven metal forming, punching, and shearing machines
9.Other mining
10.Power-driven meat slicing/processing machines
11.Power-baking machines
12.Power-driven paper products/paper bailing machines
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 baby-sitting, or in private homes where the minor is not regularly employed.
•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 non-school day or on any day that precedes a non-school day. May be permitted to work up to 48 hours per week. Students in Work Experience Education or cooperative vocational education programs may be permitted to work a maximum of 8 hours on a school day.
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 non-school days may work 8 hours. Weekly maximum of 18 hours. Students in Work Experience Education and career exploration programs may work up to 23 hours per week.
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.
After a minor finds employment, the next step is to legally secure their right to work. This process involves completing the Statement of Intent to Employ Minor and Request for Work Permit form. This document is crucial as it formalizes the employment arrangement and ensures that all parties comply with labor laws designed to protect young workers. Below are the step-by-step instructions to correctly fill out the form.
Once the form is submitted and reviewed by the school official or issuing authority, the minor and the employer will be notified of the permit's status. If approved, the minor is legally allowed to start working under the conditions specified in the permit. It's essential to keep a copy of the completed form and the work permit for records and future reference. Both the employer and the minor should be aware of any restrictions or limitations stated in the permit to ensure compliance with labor laws.
The Statement of Intent to Employ Minor and Request for Work Permit form is a legal document required for individuals under the age of 18 who wish to work in the United States. This form must be completed and submitted to obtain a work permit, officially known as a Certificate of Employment. The form gathers detailed information about the prospective employment, including the minor's personal information, the employer's details, and the specifics of the job offer, such as hours of work and duties.
The form must be filled out by both the minor seeking employment and the prospective employer. Initially, the minor completes their portion, providing personal information and educational status. Subsequently, the employer fills out their section, detailing the job's specifics including nature of work, wages, and work hours. Completion of the form requires the endorsement of the minor's parent or legal guardian to ensure they are aware and approve of the employment opportunity.
The form is typically available from a few key sources:
After the form has been filled out and signed by all necessary parties (the minor, the employer, and the minor’s parent or guardian), it must be submitted to the appropriate authority. This can vary but is generally one of the following:
Yes, both federal and state laws impose restrictions on the types of jobs minors can perform and the hours they are allowed to work, with the specifics varying by age. Generally, these laws are designed to ensure that work does not interfere with a minor’s education and is not hazardous. For example, individuals under 16 are typically not allowed to work in manufacturing or mining, or during school hours. Older minors may have slightly more flexibility but still face restrictions on working hours during the school year. Employers must comply with these regulations when offering employment to minors.
Once the work permit is issued, the minor is allowed to start their employment under the conditions specified in the permit. The employer should keep a copy of the permit on file. It's important to note that the work permit can be revoked if the employment is found to be in violation of labor laws, such as non-compliance with the permitted hours of work or the nature of employment being hazardous. Both the employer and the minor should ensure ongoing compliance with all relevant labor laws and regulations to maintain the validity of the work permit.
When completing the Statement of Intent to Employ Minor and Request for Work Permit form, many people overlook key details or make mistakes that can hinder the process. It's important to approach this form carefully to ensure that minors are permitted to work in accordance with local laws. Here are nine common mistakes to be mindful of:
Not reviewing the entire form before starting: Many people jump straight into filling out the form without first reviewing all the sections. This can lead to missing critical information that is required later on.
Incorrect information: Sometimes there's a rush to complete the form, which leads to typos or incorrect information. Every piece of information, from the minor’s name and date of birth to the employer's contact details, must be accurate.
Leaving sections blank: It’s common to encounter sections that may seem irrelevant but skipping any part of the form can result in processing delays. If a section does not apply, it’s better to enter “N/A” than to leave it blank.
Failure to obtain necessary signatures: The form typically requires signatures from the minor, the parent or guardian, and the employer. Forgetting any of these signatures can invalidate the entire request.
Not checking local laws and regulations: The requirements for employing minors can vary greatly by location. Not checking local laws and regulations related to work permits can lead to legal issues later on.
Omitting details about the work schedule and duties: Specifics about the minor's work duties and schedule are often required to assess the request's legality and suitability. Failing to provide detailed information can cause unnecessary back-and-forth.
Using outdated forms: Government forms are updated periodically. Using an outdated version of the form can result in automatic rejection.
Not providing supplemental documents: Sometimes, additional documents are required alongside the form. Overlooking or assuming they aren’t needed without double-checking can delay the process.
Forgetting to check for specific state or local requirements: In addition to the general form, some states or municipalities may have additional requirements or forms that need to be completed. Failing to include these can mean your application is incomplete.
Being diligent, detailed, and informed are key aspects of successfully completing the Statement of Intent to Employ Minor and Request for Work Permit form. Taking the time to avoid these common mistakes can make the process smoother for everyone involved.
When a minor is gearing up to enter the workforce, there's a significant step to take that involves more than just ambition and finding the right job: paperwork. Among the essential documents is the Statement of Intent to Employ Minor and Request for Work Permit form, a crucial piece that kickstarts the employment process for young workers. This form, however, is often just one piece of a larger puzzle. To complete the picture, there are several additional forms and documents that are frequently needed. Let's dive into what these are and what they represent.
Entering the workforce as a minor is an exciting step towards independence and responsibility. However, it's accompanied by a significant responsibility for both the minor and their employer to ensure all legal and safety requirements are met. These forms and documents, together with the Statement of Intent to Employ Minor and Request for Work Permit form, create a framework that supports a young worker's journey in the workforce, ensuring their rights are protected and their work experience is positive and lawful.
When discussing the paperwork associated with employing minors, it's essential to understand the Statement of Intent to Employ Minor and Request for Work Permit form. This document is crucial in the employment process for minors, ensuring that the work they undertake is suitable and does not interfere with their education or well-being. There are several other documents, similar in nature, that serve parallel purposes in different contexts. Here are six documents that share similarities:
All these documents, while serving different purposes, share a common goal: they are designed to ensure the safety, well-being, and rights of minors in various professional and educational settings. Each, in its way, requires careful consideration and often parental or guardian oversight, underscoring the importance of protecting those who are not yet of legal age.
When filling out the Statement of Intent to Employ Minor and Request for Work Permit form, it’s crucial to pay attention to detail. This document is an important step in the employment of minors, ensuring that work does not interfere with their education and health. Below are things you should and shouldn't do to make sure the process goes smoothly for both the employer and the minor.
In understanding the processes and regulations involving the employment of minors, the Statement of Intent to Employ Minor and Request for Work Permit form plays a central role. There are, however, several misconceptions about this document that need clarifying:
It’s Only Needed for Official Work Settings: A common misconception is that the form is only required for formal employment contexts, such as in offices or retail stores. In reality, it applies to all kinds of paid work, including casual or odd jobs like babysitting or lawn mowing, emphasizing the broad scope of employment it covers.
Minors Can Submit the Form Themselves: While minors play a crucial role in the process, they cannot submit the form independently. It must be completed jointly by the employer and the minor, then submitted by the employer, showcasing the collaborative approach between employer, minor, and often the minor's school.
Approval Is Guaranteed: Submission of the form does not automatically lead to approval. The application goes through a review process where several factors are considered, such as the minor's age, the job position, and compliance with labor laws, highlighting the meticulous scrutiny involved.
One Permit Covers All Jobs: Another misunderstanding is thinking that one work permit is sufficient for multiple jobs. Minors need a separate permit for each job they plan to undertake, underscoring the need for specific approvals tailored to each employment situation.
There Are No Restrictions Once Approved: Even with a work permit, there are ongoing restrictions regarding the hours and types of work minors can do. These restrictions vary by age and are in place to ensure the working conditions are safe and do not impede education, reflecting the protective intent behind the legislation.
It’s the Same Nationwide: Lastly, there's a false assumption that the process and form are uniform across all states. In reality, requirements can vary significantly from state to state, indicating the importance of understanding local laws and regulations.
Understanding these misconceptions can ensure compliance with the law and protect the rights and well-being of young workers.
Filling out the Statement of Intent to Employ Minor and Request for Work Permit form is an important step for young individuals seeking employment. It's essential to understand the process to ensure compliance with employment laws for minors. Here are key takeaways to help guide you through this process:
By following these steps and ensuring all parties contribute to the completion of the Statement of Intent to Employ Minor and Request for Work Permit form, young workers can embark on their employment journey responsibly and in compliance with local labor laws.
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