The Statement of Intent to Employ Minor and Request for Work Permit form is a legal document required for employers who wish to hire individuals under the age of 18. This form ensures compliance with labor laws and protects the rights of minors in the workforce. To begin the process, fill out the form by clicking the button below.
When it comes to employing minors, understanding the necessary legal requirements is crucial for both employers and young workers. The Statement of Intent to Employ Minor and Request for Work Permit form plays a vital role in this process. This form serves as a formal request for permission to hire a minor, ensuring that all employment practices adhere to state regulations designed to protect young workers. It outlines the specific details of the employment, including the nature of the job, hours of work, and the minor's age. Additionally, the form requires signatures from both the employer and a parent or guardian, confirming that all parties are aware of and agree to the terms of employment. By completing this form, employers not only comply with legal obligations but also demonstrate their commitment to creating a safe and supportive work environment for minors. Understanding the ins and outs of this form can help facilitate a smooth hiring process while safeguarding the rights and well-being of young employees.
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.
Filling out the Statement of Intent to Employ Minor and Request for Work Permit form is an important step for employers looking to hire minors. After completing the form, it will need to be submitted to the appropriate state agency for approval. This process ensures that all legal requirements are met, allowing for a smooth transition into employment for young workers.
Once the form is filled out and reviewed, it can be submitted to the appropriate state agency. Be sure to keep a copy for your records. This will help ensure that you have all necessary documentation on hand as the employment process moves forward.
What is the Statement of Intent to Employ Minor and Request for Work Permit form?
The Statement of Intent to Employ Minor and Request for Work Permit form is a document that employers must complete to legally employ individuals under the age of 18. This form ensures that the employment complies with state and federal labor laws designed to protect minors in the workplace.
Who needs to fill out this form?
Employers who wish to hire minors must fill out this form. Additionally, the minor’s parent or guardian may also need to provide their consent, depending on the state’s regulations. This collaborative effort ensures that all parties are aware of the employment terms and conditions.
What information is required on the form?
The form typically requires basic information about the employer, the minor, and the specific job the minor will be performing. This includes the minor’s name, age, the nature of the work, hours of employment, and any other pertinent details that demonstrate compliance with labor laws.
How does the work permit process work?
Once the form is completed, it must be submitted to the appropriate state agency or school district, depending on local regulations. The agency will review the information to ensure it meets legal standards. If approved, a work permit will be issued, allowing the minor to begin employment.
Are there age restrictions for minors seeking employment?
Yes, there are age restrictions. Generally, minors under the age of 14 are limited in the types of jobs they can hold and the hours they can work. As the age increases, the restrictions may lessen, but specific laws vary by state. It is essential to check local regulations for precise age-related employment rules.
What types of jobs can minors perform?
Minors can perform a variety of jobs, but certain hazardous occupations are off-limits. Common jobs for minors include positions in retail, food service, and office work. However, each state has its own list of permissible and prohibited occupations for minors, so it is crucial to consult local labor laws.
What are the consequences of not obtaining a work permit?
Employing a minor without the necessary work permit can result in significant penalties for the employer, including fines and legal repercussions. Additionally, the minor may face restrictions on future employment opportunities. Ensuring compliance with labor laws is essential for protecting both the employer and the minor.
How long is the work permit valid?
The validity of a work permit can vary depending on state regulations. Typically, a work permit remains valid until the minor reaches a certain age, changes jobs, or the permit is revoked due to non-compliance with labor laws. Regularly reviewing the permit’s status is advisable to ensure ongoing compliance.
Can the form be submitted electronically?
Many states now allow the submission of the Statement of Intent to Employ Minor and Request for Work Permit form electronically. However, this option may not be available in all jurisdictions. It is important to check with the relevant state agency for specific submission guidelines and options.
Where can I obtain the form?
The form can usually be obtained from the state’s labor department website or the local school district office. Some employers may also have copies of the form available in their human resources department. Ensure that you are using the most current version of the form to avoid any issues during the application process.
When filling out the Statement of Intent to Employ Minor and Request for Work Permit form, it’s easy to overlook important details. One common mistake is providing inaccurate personal information. This includes the minor's full name, date of birth, and address. If any of these details are incorrect, it can lead to delays in processing the work permit.
Another frequent error is failing to obtain the necessary signatures. Both the employer and the minor’s parent or guardian must sign the form. Without these signatures, the application will be considered incomplete. Always double-check that all required parties have signed before submitting.
Omitting the specific job description is another mistake that can hinder the application process. The form requires a clear description of the job the minor will be performing. Vague or incomplete job descriptions may lead to confusion and potential rejection of the application.
Many people forget to include the correct employer information. This includes the business name, address, and contact details. Providing incorrect or outdated information can cause issues with communication and verification, ultimately delaying the work permit approval.
Some applicants neglect to mention the hours the minor will work. The form requires details about the expected work schedule, including days and hours. If this information is missing, it may raise concerns about compliance with labor laws regarding minors.
Another mistake is not keeping a copy of the completed form for personal records. It’s important to retain a copy for reference. This can be helpful if there are any questions or issues later on regarding the application or the minor’s employment.
Additionally, failing to check for any additional local or state requirements can lead to complications. Each state may have specific regulations regarding the employment of minors. It’s essential to be aware of these rules to ensure full compliance.
Lastly, some individuals rush through the form, leading to careless errors. Taking the time to carefully read each section and verify the information can prevent mistakes. A thorough review can save time and avoid unnecessary complications down the line.
When employing minors, several forms and documents are often required alongside the Statement of Intent to Employ Minor and Request for Work Permit. Each of these documents serves a specific purpose in ensuring compliance with labor laws and protecting the rights of young workers.
Having these documents in order can streamline the process of hiring minors and help ensure a safe and compliant work environment. Always check local laws and regulations, as requirements may vary by state.
When completing the Statement of Intent to Employ Minor and Request for Work Permit form, there are important guidelines to follow. Here’s a helpful list of things to do and avoid:
Understanding the Statement of Intent to Employ Minor and Request for Work Permit form is crucial for both employers and parents. However, several misconceptions can lead to confusion. Here are eight common misunderstandings:
By clearing up these misconceptions, both employers and parents can better navigate the process and ensure compliance with labor laws protecting minors.
Filling out the Statement of Intent to Employ Minor and Request for Work Permit form is a crucial step for employers looking to hire minors. Here are some key takeaways to keep in mind:
These takeaways are essential for a smooth hiring process and to ensure that you are following the law when employing minors.