Alaska Work Permit Form PDF Details

Navigating the landscape of child labor laws in Alaska requires familiarity with the Alaska Work Permit form, a crucial document issued by the Alaska Department of Labor and Workforce Development. This form serves as the backbone for the employment of minors, ensuring that all legal requirements are met before a minor begins work. It entails a comprehensive process where the employer initially fills out and signs Section A, demonstrating their consent and understanding of their responsibilities. Similarly, the signature of a parent or guardian in Section B signifies their permission in compliance with Alaska's child labor statutes. The process requires employers to verify and maintain a copy of the minor's proof of age on their premises. Additionally, for certain age groups of minors, there are specific protocols to follow, emphasizing the state's commitment to safeguarding minor’s welfare in the workplace. The form also addresses the hours and conditions under which minors are legally allowed to work, reflecting both federal and state laws' nuances. It's noteworthy that Alaska law imposes specific restrictions on the employment of minors, including but not limited to the types of duties they can perform, the tools they can use, and the industries they can work in. Understanding these obligations is critical for employers to avoid legal pitfalls and ensure a safe and legal work environment for young workers. The Alaska Work Permit form is an essential tool in this process, helping to streamline the legal complexities into actionable steps for both employers and guardians.

QuestionAnswer
Form NameAlaska Work Permit Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameswork permit for alaska, alaska work permit, worker permit alaska, alaska minor work permit

Form Preview Example

ALASKA DEPARTMENT OF LABOR AND WORKFORCE DEVELOPMENT

INDIVIDUAL WORK PERMIT APPROVED

APPROVED AS AMENDED:

__________________________________________________

__________________________________________________

__________________________________________________

DENIED

By: _________________________________________

Date: ____________________

INDIVIDUAL WORK PERMIT:

1.Employer completes and signs SECTION A.

2.Parent or guardian completes and signs SECTION B.

3.Employer verifies minor’s age, agrees to keep a copyof the proof of age on file at the employer’s premises and submits work permit.

4.When the approved work permit is returned, the minor may begin work.

GENERAL DUTIES WORK PERMIT

APPROVED FOR:

16 & 17 YEAR OLD MINORS; OR 14 – 17 YEAR OLD MINORS

By: ________________________________________

Date: _________________

GENERAL DUTIES WORK PERMIT:

1.Employer completes and signs SECTION A.

2.Employer submits work permit to Wage and Hour office.

3.The approved duties are returned to the employer.

4.Employer obtains the signature of the minor’s parent or guardian in SECTION B, verifies minor’s age and agrees to keep a copyof the proof of age on file at the employer’s premises. The minor may then begin work.

5.Employer must return a copy of the work permit signed by the parent or legal guardian within seven (7) calendar days of minor beginning to work.

Section (A) to be completed by EMPLOYER

Name of Employer:

Employer Fax Number:

 

 

 

 

 

 

 

 

DBA/

 

 

Employer Phone Number:

 

 

 

 

 

 

 

 

 

 

 

Employer Local Mailing Address:

 

 

City:

 

 

 

Zip:

 

 

 

 

 

 

 

 

Location of Employment (Physical Address):

 

 

City:

 

 

 

Zip:

 

 

 

 

 

 

 

Duties to be performed by minor:

 

Tools, Equipment or Machinery to be used by minor:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hourly Rate:

 

Pay Periods:

 

 

 

 

 

 

 

Will the minor be working at an establishment that serves alcohol?

YES

NO

 

 

RDP number:

If yes, is there a valid Restaurant Designation Permit (RDP) filed with the Alcoholic Beverage Control Board?

YES

NO

 

√ SEE REVERSE SIDE - FEDERAL LIMITATIONS MAY BE MORE STRICT.

HOURS OF WORK FOR YOUTHS AGES 14 AND 15 YEARS WILL BE RESTRICTED AS INDICATED BELOW:

When school is in session, hours will be limited to a combined total of nine hours of school attendance plus employment in any one day; work will be performed only between the hours of 5 a.m. and 9 p.m. Total hours worked in one week will be limited to 23 hours.

During school vacations, work hours will be limited to a maximum of 8 hours per day and a maximum of 40 hours per week; work will be performed only between the hours of 5 a.m. and 9 p.m.

Alaska law (AS 23.10.350 (c)) states that a minor under 18 years of age:

(i) May not be employed or allowed to work more than six days a week;

(ii) Who works for five (5) consecutive hours without a documented, 30 consecutive minute break is to have a documented break of at least 30 consecutive minutes before continuing to work.

I affirm and agree that such working conditions will be maintained and that all changes shall have the prior approval of the Commissioner of Labor and Workforce Development. I also affirm that I have verified and will keep on file valid proof of age of this minor employee at the employment premises.

___________________________________________________________

____________________________________________

________________

Printed Name of Employer or Agent Acting for Employer

 

Signature

Date

 

Section (B) to be completed by PARENT or GUARDIAN prior to employment of minor

 

 

 

 

 

 

 

 

Name of Minor (Print):

 

 

Address:

 

Date of Birth:

 

 

 

 

 

I affirm that I am the

parent/stepparent or the

legal guardian of the above-named minor and that such minor has my consent to be employed in any occupation

authorized by the Alaska child labor laws, Alaska Statutes 23.10.325-370.

 

 

 

___________________________________________________________

_________________________

________________

Signature (Legal guardian must attach documentation)

 

Telephone Number

Date

NOTICE: All information requested is required to process this work permit. Records of the Department are public records and may be subject to inspection and copying under AS 09.25.110-220 or be provided to other State agencies (see AS 44.99.310).

MAY2012 WPFRONT Indv-Gnrl

Labor Standards and Safety Division

Labor Standards and Safety Division

Labor Standards and Safety Division

 

Alaska Department of Labor and

Alaska Department of Labor and

Alaska Department of Labor and

 

Workforce Development

Workforce Development

Workforce Development

 

1111 West Eighth Street, Suite 302

1251 Muldoon Road, Suite 113

675 7th Avenue, Station J-1

 

Juneau, Alaska 99802-1149

Anchorage, Alaska 99504

Fairbanks, AK 99701

 

Phone: 465-4842

Phone: 269-4909

Phone: 451-2886

 

FAX: 465-3584

FAX: 269-4915

FAX: 451-2885

 

EMPLOYERS PLEASE NOTE:

 

 

OCCUPATIONS PROHIBITED TO ALL MINORS UNDER 18:

1.Occupations in manufacturing, handling, or use of explosives.

2.Occupations of motor vehicle driver or helper (limited exceptions.)

3.Mining operations including coal.

4.Logging or occupations in the operations of any sawmill, lath mill, shingle mill or cooperage.

5.Operations of power-driven woodworking machines.

6.Occupations with exposure to radioactive substances and to ionizing radiation.

7.Occupations involving exposure to bloodborne pathogens.

8.Operation of elevators or other power-driven hoisting apparatus.

9.Operation of power-driven metal forming, punching, and shearing machines.

10.Occupations involving slaughtering, meatpacking or processing, or rendering.

11.Occupations involved in the operation and cleaning of power-driven bakery machines.

12.Occupations involved in the operation of power-driven paper products machines.

13.Occupations involved in the manufacture of brick, tile, and kindred products.

14.Occupations involved in the operation and cleaning of circular saws, band saws and guillotine shears.

15.Occupations involved in wrecking, demolition, and shipbreaking operations.

16.Occupations involved in roofing operations.

17.Occupations involved with excavation operations.

18.Electrical work with voltages exceeding 220, or outside erection or repair, and meter-testing, including telegraph and telephone lines.

19.Occupations involved in canvassing, peddling, door-to-door solicitation, or sales.

IF UNDER 16 THESE ADDITIONAL OCCUPATIONS ARE ALSO PROHIBITED:

1.Occupations in manufacturing, mining, or processing, including work rooms or places where goods are manufactured, mined, or otherwise processed.

2.Occupations involved in operation of hoisting or power-driven machinery other than office machines.

3.Operation of motor vehicle or service as helper on motor vehicle.

4.Public messenger service.

5.Occupations in or about canneries, seafood plants, including cutting, slicing, or butchering, or the operation of any floating plant and including loading or unloading.

6.Work performed in or about boilers, engine rooms, or retorts.

7.Work involved with maintenance or repair of the establishment’s machines or equipment.

8.Occupations that involve working from window sills, ladders, scaffolds, or their substitutes.

9.Occupations which involve operating, setting up, adjusting, cleaning, oiling, or repair of power-driven food slicers, grinders, choppers, cutters, and bakery-type mixers.

10.Work in freezers, meat coolers, or preparation of meat for sale.

11.Loading or unloading to and from trucks, railroad cars, or meat conveyors.

12.Occupations in warehouses except office and clerical work.

13.Occupations involving use of sharpened tools.

14.Occupations in transportation of persons or property, warehousing and storage, construction (including demolition and repair) except office or sales work in connection with these occupations.

The federal prohibition on the hours 14 and 15 year old minors may be allowed to work is stricter than Alaskan law. Due to this conflict, an employer of 14 or 15 year old minors may find that they are in compliance with State law, but in violation of federal law. For example:

Federal Law

State Law

Children 14 and 15 years old may only work:

1.outside school hours.

2.No more than 40 hours in any one week when school is not in session.

3.Not more than 18 hours in any week when school is in session.

4.Not more than 8 hours in any one day when school is not in session.

5.Not more than 3 hours in any one day when school is in session.

6.Between 7 a.m. and 7 p.m. in any one day except during the summer (June 1 through Labor Day), when the evening hours will be 9 p.m.

Children 14 and 15 years old may work:

1.A total of 9 hours of school and work combined in one day.

2.Only between the hours of 5 a.m. to 9 p.m.

3.No more than 23 hours per week outside of school hours (domestic work and babysitting excepted).

4.No more than 6 days per week.

There are certain exceptions to the federal law; for example, children in work-study programs through their schools are exempt from some or all of the hour restrictions. For further information on the federal law, contact the United States Department of Labor, Wage and Hour Division, Telephone: 1-866-487-9243. Or in Anchorage: (907) 271-2867

TITLE 4 ALCOHOLIC BEVERAGES -- ALASKA STATUTES

AS 04.16.049. Access of persons under the age of 21 to licensed premises:

(a)A person under the age of 21 years may not knowingly enter or remain in premises licensed under this title unless:

(1)accompanied by a parent, guardian or spouse who has attained the age of 21 years;

(2)the person is at least 16 years of age, the premises are designated by the board as a restaurant for the purposes of this section, and the person enters and remains only for dining; or

(3)the person is under the age of 16 years, is accompanied by a person over the age of 21 years, the parent or guardian of the underaged person consents, the premises are designated by the board as a restaurant for the purposes of this section, and the person enters and remains only for dining.

(c)Notwithstanding any other provision in this section, a person between 16 or 17 years of age may enter and remain within the licensed premises of a hotel, restaurant, or eating place in the course of employment if

(1)the employment does not involve the serving, mixing, delivering, or dispensing of alcoholic beverages;

(2)the person has the written consent of a parent or guardian; and

(3)an exemption from the prohibition of AS 23.10.355 is granted by the Department of Labor and Workforce Development. The board, with the approval of the governing body having jurisdiction and at the licensee's request, shall designate which premises are hotels, restaurants, or eating places for the purposes of this subsection.

(d)Notwithstanding any other provision in this section, a person 18, 19, or 20 years of age may be employed within the licensed premises of a hotel, restaurant, or eating place, may enter and remain within those premises for the purpose of employment, but may not in the course of employment, sell, serve, deliver, or dispense alcoholic beverages.

TOBACCO & PULL-TABS

AS 11.76.106 restricts access to areas where tobacco and tobacco products are sold. Minors under 19 years may not sell tobacco or tobacco products in the course of their employment. 15 AAC 160.480(b) prohibits the sale of pull-tabs by anyone under the age of 21.

MAY2012 WPBACK

THIS FORM IS AVAILABLE ON THE INTERNET AT: www.labor.state.ak.us/lss/forms/workpmit.pdf

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