Delaware Work Permit Form – Fill Out and Use This PDF

DELAWARE DEPARTMENT OF LABOR OFFICE OF LABOR LAW ENFORCEMENT 225 CORPORATE BLVD. STE. I04, NEWARK DE 19702

(302)451-3423 PH

INSTRUCTIONS FOR COMPLETING

CHILD LABOR WORK PERMIT

STEP 1

MINOR:

1.COMPLETE THE SECTION MARKED “MINOR”. IF YOU ARE 14 OR 15 YEARS OF AGE, YOUR PARENT OR LEGAL GUARDIAN MUST SIGN THE PERMIT.

2.TAKE THE CERTIFICATE TO YOUR PROSPECTIVE EMPLOYER AND ASK THEM TO COMPLETE THE SECTION MARKED “EMPLOYER”.

3.IN PERSON RETURN THE COMPLETED FORM TO AN ISSUING OFFICER AT YOUR SCHOOL OR AT YOUR LOCAL DEPARTMENT OF LABOR OFFICE. YOU MUST PROVIDE THE ISSUING OFFICER WITH ONE OF THE FOLLOWING PROOFS OF AGE: BIRTH CERTIFICATE; BAPTISMAL CERTIFICATE; PASSPORT; SCHOOL RECORD; VALID DRIVER’S LICENSE.

4.YOU MUST GET A NEW PERMIT WHEN YOU CHANGE EMPLOYERS.

STEP 2

EMPLOYER:

1.COMPLETE ALL “EMPLOYER INFORMATION” INCLUDING DELAWARE ADDRESS AND PHONE NUMBER. RETURN TO THE CHILD. (S)HE WILL TAKE THE APPLICATION TO AN ISSUING OFFICER AND RETURN IT TO YOU AFTER THE WORK PERMIT HAS BEEN CERTIFIED.

2.DO NOT ACCEPT WORK PERMIT UNLESS IT IS DATED AND SIGNED BY AN ISSUING OFFICER.

3.KEEP EMPLOYER COPY ON FILE - IT IS REQUIRED BY LAW.

STEP 3

ISSUING OFFICER:

1.FORM MUST BE FILLED OUT AND SIGNED BY MINOR AND PARENT OR GUARDIAN (IF THE CHILD IS AGED 14 OR 15) AND THE EMPLOYER.

2.EMPLOYER MUST HAVE COMPLETED “COMPANY NAME, ADDRESS, AND PHONE NUMBER” PORTIONS OF THE PERMIT.

3.YOU MUST VERIFY MINOR’S AGE.

4.GIVE MINOR “EMPLOYER COPY” TO RETURN TO THE EMPLOYER.

5.MAIL DOL COPY TO:

DEPARTMENT OF LABOR

OFFICE OF LABOR LAW ENFORCEMENT 225 CORPORATE BLVD. STE. I04 NEWARK, DE 19702

LEGAL HOURS OF EMPLOYMENT

FOR MINORS 14 THROUGH 17 YEARS OF AGE

MINOR MAY NOT WORK MORE THEN 5 HOURS

CONTINUOUSLY WITHOUT A NON-WORK

PERIOD OF AT LEAST 30 MINUTES

THE MINIMUM AGE OF EMPLOYMENT

IN DELAWARE IS FOURTEEN (14)

EMPLOYER IS REQUIRED TO HAVE PERMITS

FOR ALL EMPLOYEES UNDER THE AGE OF 18

AGE 14 - 15	NO MINOR 14 - 15 YEARS OF AGE
	SHALL WORK BEFORE 7:00 A.M. OR
	AFTER 7:00 P.M. - except from June 1st
	through Labor Day when the evening hour
	shall be 9:00 p.m.
HOURS OF WORK Not more than 4 hours per day on school
FOR 14 - 15	days*
	Not more than 8 hours per day on
	non-school days
	Not more than 18 hours in any week when
	school is in session for 5 days
	Not more than 6 days in any week
	Not more than 40 hours per week

*If the employer is covered by federal law, minor is limited to three hours on school days

AGE 16 - 17	Minors 16 and 17 years of age may not
	spend more than 12 hours in combination
	of school hours and work hours per day.
	They must have at least 8 consecutive

hours of non-work, non-school time in each 24 hour period

CONTACT THE DELAWARE DEPARTMENT OF LABOR

FOR A LIST OF PROHIBITED OCCUPATIONS

DELAWARE DEPARTMENT OF LABOR CHILD LABOR WORK PERMIT FOR MINOR

PLEASE PRINT OR TYPE

EMPLOYER INFORMATION

Company Name:

Address:

City/State/Zip:

Description of Minor’s Duties:

Telephone No.:	Hourly Wage
	To Be Paid:
Employer’s Signature:
Print Name:

MINOR INFORMATION

Name:

Address:

City/State/Zip:

Name of School

Minor Attends:

Minor’s Signature:

Parent/Guardian Signature: (if required)

PERMIT NOT VALID UNLESS THIS SECTION IS COMPLETED BY AN ISSUING OFFICER

Minor’s Birthdate:

Age:

Proof:

School/Office Issuing Permit:

Issuing Officer’s Signature and Date:

Subject to Review by the

Delaware Department of Labor

Office of Labor Law Enforcement

225 CORPORATE BLVD. STE. I04, NEWARK DE 19702

Copies of this document are to be provided to the following : DDOL, Employer & Minor

Newark: (302)451-3423 / Milford: (302)422-1134 / Wilm. (302)761-8200