Cde B1 4 Form PDF Details

In the bustling state of California, navigating the employment landscape for minors can prove to be a complex affair characterized by an intricate mesh of laws and forms designed to protect the young workforce. Among these, the "Permit to Employ and Work," commonly referred to as the CDE Form B1-4, stands out as a pivotal document. This form, revised in February 2014, embodies the initial step in the legal process that enables minors to embark on their work journey by ensuring that all employment engagements adhere to the standards set by the California Education Code. Before the issuance of this permit, a detailed statement of intent, encapsulated in the "STATEMENT OF INTENT TO EMPLOY A MINOR AND REQUEST FOR A WORK PERMIT–CERTIFICATE OF AGE" (CDE From B1-1), must be duly filled and signed by a parent, guardian, or an equivalent responsible adult, and submitted for review. The CDE Form B1-4 meticulously outlines the terms of employment, including the permit expiration date, type of work permit, minor’s personal and school information, along with permissible work hours that vary depending on whether school is in session. Notably, it stresses certain restrictions, particularly for 14 and 15-year-olds, regarding the validity of their work permits which are set to expire with the academic year, ensuring a balance between work and education. To further safeguard the interests of working minors, the form mandates the certification of employers, affirming their adherence to child labor laws, thereby fostering a safe and legally compliant work environment. Through this streamlined process, the state not only champions the rights of its youthful citizens but also lays a solid foundation for responsible employment practices.

QuestionAnswer
Form NameCde B1 4 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesb1 4 work permit, 4 b1, permit to employ and work cde form b1 4, cde form b1 4 work permit

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STATE OF CALIFORNIA DEPARTMENT OF EDUCATION

PERMIT TO EMPLOY AND WORK CDE Form B1-4 (REV. 02-14)

A work permit shall not be issued to a minor until the “STATEMENT OF INTENT TO EMPLOY A MINOR AND REQUEST FOR A WORK PERMIT–CERTIFICATE OF AGE” (CDE From B1-1) form has been signed by the parent or guardian, foster parent, caregiver, or residential shelter service provider and filed with the issuing authority. California Education Code (EC) 49110(c)

(Print Information)

 

Permit Expiration Date

 

 

 

 

 

Check Permit Type:

 

 

 

 

 

 

Work permits shall expire five days after the opening of the next

Full-time

Work Experience Education,

 

 

succeeding school year. Full-time exempt work permits issued to 14

 

 

 

 

Vocational Cooperative

 

 

& 15 year olds shall expire no later than the end of the current school

Workability

 

 

year. EC 49118 and 49130

 

 

 

 

 

Education, or Personal Attendant

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Restricted

 

 

 

 

 

 

 

 

 

 

 

 

 

General

 

 

 

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Minor’s Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Minor’s Name (Print First and Last)

 

 

Social Security Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Home Phone

 

 

Age at Time of Issuance

Birth Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Home Address

 

 

 

 

 

City

 

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

School Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

School Name

 

 

 

 

 

School Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

School Address

 

 

 

 

 

City

 

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Maximum Work Hours Permitted

1.Maximum number of work hours on a school day

2.Maximum number of work hours on a non-school day

3.Maximum weekly work hours while school is in session

4.Maximum weekly work hours while school is not in session

Remarks or Work Limitations:

This permit is valid only at the business listed below:

Business Name

Business Address

To be signed by minor

Minor’s Signature

Date

Certification

I hereby certify that, to the best of my knowledge, the information herein is correct and true. I hereby certify that I have a working knowledge of child labor laws and all laws pertaining to the issuance of work permits in California. EC 49110

Issuing Authority’s Name and Title (Print)

Issuing Authority’s Signature

Date

Copy–District or County Superintendent; Parent or Legal Guardian; Employer

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Fill out the Maximum Work Hours Permitted, Remarks or Work Limitations, This permit is valid only at the, Business Name, To be signed by minor, Minors Signature, Date, Certification, Business Address, I hereby certify that to the best, Issuing Authoritys Name and Title, Issuing Authoritys Signature, and Date fields with any particulars that are demanded by the platform.

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