Work Permit PDF Details

Entering the workforce as a minor involves various legal prerequisites aimed at ensuring the safety and rights of young workers are protected. One crucial step in this process is the completion of the Application for Minor Work Permit, which serves as a bridge connecting students, their guardians, employers, and educational authorities. This comprehensive form collects detailed information about the student applicant, including full name, age, grade level, and proof of age, alongside the guardian's certification supporting the minor's employment. Furthermore, it mandates a physician's certificate verifying the minor's physical fitness for the work intended. For employers, it outlines essential details such as the nature of employment, work schedules, and adherence to legal regulations concerning minor employment. This document ensures that the employment of minors aligns with legal standards, safeguarding their educational commitments and physical well-being, thus emphasizing the collective responsibility towards the ethical employment of young individuals.

QuestionAnswer
Form Name Work Permit
Form Length 2 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 30 sec
Other names work permit form, work permit application forms, permit work, online workers permit

Form Preview Example

APPLICATION FOR MINOR WORK PERMIT

STUDENT / APPLICANT INFORMATION

3331 02 ORC

4109 02 ORC

Name of Student / Applicant in full:

 

Sex:

 

 

Grade Level:

 

 

 

 

 

 

 

 

 

Male

 

Female

 

 

 

 

 

 

 

 

 

 

 

 

 

Proof of Age (Type of document):

 

Age:

Date of Birth:

 

Physician's certificate:

 

 

 

 

 

 

 

Submitted with

 

 

 

 

 

 

 

 

 

 

 

 

 

 

this application

 

 

 

 

 

 

 

 

Address of Student /Applicant:

 

 

 

 

 

 

 

Valid physician's certificate on file

School District:

 

Building:

 

 

 

 

 

 

 

 

Parent or Guardian:

Parent or Guardian Telephone Number:

Address of Parent or Guardian:

I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE ABOVE STATEMENTS ARE TRUE AND THAT THE MINOR

NAMED ABOVE WILL WORK WITH MY APPROVAL.

X

Signature of Parent or Guardian

Date Signed

THE NUMBER OF HOURS OR DAYS AND THE TIMES DISPLAYED BELOW OR ON THE FINAL PERMIT ARE FOR REGULATORY PURPOSES ONLY AND ARE NOT TO BE CONSTRUED IN

ANY WAY OR MANNER TO BE INDICATIVE OF A CONTRACT BETWEEN AN EMPLOYER AND THE EMPLOYEE.

I HEREBY CERTIFY THAT I HAVE EXAMINED AND APPROVED THE ABOVE NOTED DOCUMENTARY PROOF OF AGE.

X

Superintendent / Chief Adminstrative Officer / Designated Issuing Officer

Name of Office

Address of Office

PLEDGE OF EMPLOYER

-

Name of Firm:

Telephone Number at Minor's Work Location:

 

 

 

 

 

 

Address of Student /Applicant's Place of Employment, Job Site, or Work Location:

 

 

 

 

 

 

Specific Nature of Employment:

 

 

 

 

 

 

 

Employer's Tax ID Number (9 digits). THIS FIELD IS MANDATORY )~'

I

 

 

IF MINOR WORKS A VARIED OR

 

 

 

YES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IRREGULAR SCHEDULE ENTER

 

 

 

 

 

 

 

 

 

 

 

 

''REPRESENTATIVE" TIM~S IN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No. of Days Per Week: Hours Per Day: Starting Time:

Quitting Time:

ITEMS 1 THRU 4. ARE HOURS

 

 

 

 

TO BE WORKED WITHIN THE

 

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ILIMITS OF THE LAW?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

THE UNDERSIGNED HEREBY AGREES TO EMPLOY THE ABOVE NAMED CHILD IN ACCORDANCE WITH LAWS REGULATING THE EMPLOYMENT OF MINORS. THE EMPLOYER FURTHER AGREES TO GIVE MINOR A COPY OF THE WAGE AGREEMENT IN ACCORDANCE WITH SEC. 4109.42 ORC. THE EMPLOYMENT WILL BECOME EFFECTIVE AS SOON AS THE NECESSARY AGE AND SCHOOLING CERTIFICATE

IS VERIFIED BY THE EMPLOYER. THE EMPLOYER AGREES TO PERMIT THE CHILD TO ATTEND PART TIME SCHOOL WHEN SUCH IS AVAILABLE AND TO NOTIFY THE SCHOOL WITHIN FIVE DAYS AFTER THE EMPLOYMENT OF THE CHILD TERMINATES

PK

Signature of person authorized to sign for employer

Date signed

Telephone number

 

 

 

 

 

 

 

 

Address of employer if different from minor's place of employment

E-Mail address

 

LAWS COM 0000 (Repl.- Oho F.- 11 & 111)

(Optional- if employer wants notification in case of revocation)

PHYSICIAN'S CERTIFICATE FOR MINOR WORK PERMIT

3331 02 ORC

• 109.02ORC

APPLICANT INFORMATION

Name of Student I Applicant in full:

 

 

 

 

 

 

 

 

 

 

 

 

Sex:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Male

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of Birth:

Height:

 

 

Weight:

 

 

 

Color of Hair:

Color of Eyes:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ft.

in.

 

 

 

lbs.

 

 

 

 

 

 

 

 

Distinguishing Characteristics, if any:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Female

School District:

Building:

 

 

 

 

 

 

Parent or Guardian:

Parent or Guardian Telephone Number:

PHYSICIAN'S APPROVAL

 

 

 

 

 

 

 

 

 

 

I

 

I

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

THE UNDERSIGNED HEREBY CERTIFIES THAT THEY HAVE

NOTE: IF WORK SHOULD BE LIMITED TO A CERTAIN TYPE OF

 

THROUGHLY EXAMINED THE ABOVE NAMED APPLICANT WHO

EMPLOYMENT, THE PHYSICIAN MUST MARK THIS FORM

 

WAS BORN ON THE DATE STATED ABOVE AND WHO MEETS THE

ACCORDINGLY IN THE AREA BELOW.

 

 

 

DESCRIPTION GIVEN HEREON, AND THAY SAID PERSON;

 

 

 

 

 

 

 

 

IS

 

IS NOT

Limited Certificate:

 

YES

 

NO

 

 

 

 

 

 

 

IN THEIR OPINION PHYSICALLY FIT TO PERFORM THE WORK OF

 

 

 

 

 

 

ANY EMPLOYMENT NOT FORBIDDEN BY LAW TO A PERSON OF

If Marked YES;

 

 

 

 

 

THIS AGE AND SEX.

 

 

 

 

 

 

 

 

 

Employment should be Limited to Work Specified Below:

 

 

 

 

 

 

X

Physician's Signature

Date Signed

LAWS COM 0000 (Replaces OHIO FORM V)

How to Edit Ohio Work Permit Online for Free

Our top rated developers have worked together to get the PDF editor you are going to begin using. This software makes it simple to obtain work permit for minors documentation instantly and efficiently. This is certainly all you need to do.

Step 1: The first thing will be to click the orange "Get Form Now" button.

Step 2: Once you have entered the editing page work permit for minors, you will be able to notice every one of the options available for your file at the upper menu.

For every single segment, fill out the content requested by the software.

part 1 to filling in workers permit application

Note the essential details in the space Date Signed, THE NUMBER OF HOURS OR DAYS AND, PLEDGE OF EMPLOYER, Name of Firm, Name of Office, Address of Office, Telephone Number at Minors Work, Address of Student Applicants, Specific Nature of Employment, Employers Tax ID Number digits, No of Days Per Week Hours Per Day, Starting Time, Quitting Time, IF MINOR WORKS A VARIED OR, and YES.

Date Signed, THE NUMBER OF HOURS OR DAYS AND, PLEDGE OF EMPLOYER, Name of Firm, Name of Office, Address of Office, Telephone Number at Minors Work, Address of Student Applicants, Specific Nature of Employment, Employers Tax ID Number digits, No of Days Per Week Hours Per Day, Starting Time, Quitting Time, IF MINOR WORKS A VARIED OR, and YES in workers permit application

Note down the required information when you find yourself within the PHYSICIANS CERTIFICATE FOR MINOR, ORC cid ORC, APPLICANT INFORMATION, Name of Student I Applicant in full, Sex, Male, Female, Date of Birth, Height, Weight, Color of Hair, Color of Eyes, Distinguishing Characteristics if, lbs, and School District area.

Completing workers permit application part 3

The IN THEIR OPINION PHYSICALLY FIT TO, If Marked YES Employment should be, Physicians Signature, Date Signed, and LAWS COM Replaces OHIO FORM V area will be used to write down the rights or obligations of both sides.

workers permit application IN THEIR OPINION PHYSICALLY FIT TO, If Marked YES Employment should be, Physicians Signature, Date Signed, and LAWS COM Replaces OHIO FORM V fields to fill

Step 3: Press the "Done" button. It's now possible to upload your PDF file to your electronic device. Additionally, you can deliver it by means of email.

Step 4: In order to prevent probable upcoming challenges, you need to obtain at least a few copies of every document.

Watch Ohio Work Permit Video Instruction

Ohio Work Permit isn’t the one you’re looking for?

Related Documents

  • Work Verification Form

    "... State of New Hampshire 756 Department of Health and Human Services 07 07 Division of Family Assistance Thank you for your cooperation. sr07 05 Employment Verification completed by the employer only. Name of employee. Date ..."

  • Verification Rental Form

    "... Verification of Rental History to We are asking for verification of the following information. Please complete this information and fax it to us. ..."

  • Wisconsin Form Verification

    "... Wisconsin Department of Public Instruction Employment Verification Pi 1613 Rev 08 18 instructions for employer Complete both sections Ii and II in Section ii List each individual position assigned by the applicant in your district ..."

  • Work Search Record

    "... State of Illinois Department of Employment Security www ides.illinois.gov Work Search Record Clavant Information last name, first name Mi id/sn Este es Un Document important Si Us TED Nes Es It Un in rprete ng ..."

Please rate Work Permit

1 Votes

Related Resources

If you believe this page is infringing on your copyright, please familiarize yourself with and follow our DMCA notice and takedown process - click here to proceed .