Alaska Work Permit Form – Fill Out and Use This PDF

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.

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.

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.