Cde B1 4 Form PDF Details

The Cde B1 4 Form is a form created by the Canadian Centre for Occupational Health and Safety. It contains all of the information needed to complete an incident report in accordance with provincial regulations. The purpose of this blog post is to provide you with more information about what's in the form, how it can be used, and why it should be completed after an injury or accident has occurred.

In the table, there's some information in regards to the cde b1 4 form. There, you will obtain the details about the PDF you intend to fill out, like the estimated time to fill it out along with other details.

Form NameCde B1 4 Form
Form Length1 pages
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

Form Preview Example



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


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




year. EC 49118 and 49130






Education, or Personal Attendant





































































Minor’s Information




























Minor’s Name (Print First and Last)



Social Security Number





















Home Phone



Age at Time of Issuance

Birth Date


















Home Address









Zip Code

















School Information





























School Name






School Phone





















School Address









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



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


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

How to Edit Cde B1 4 Form Online for Free

The PDF editor was designed to be as simple as it can be. Once you keep to these steps, the process of completing the cde b1 form document will undoubtedly be trouble-free.

Step 1: Press the button "Get form here" to open it.

Step 2: Once you access our cde b1 form editing page, you'll see all of the options it is possible to take about your template at the top menu.

In order to create the file, enter the data the platform will require you to for each of the following parts:

completing b1 4 work permit stage 1

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.

Entering details in b1 4 work permit step 2

Step 3: Click the "Done" button. Now you can export the PDF form to your device. Additionally, you can easily send it by email.

Step 4: To prevent potential forthcoming difficulties, ensure that you have a minimum of two or three copies of each and every form.

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