Work Permit Form PDF Details

If you are a foreign national seeking employment in the United States, you will need to complete a Work Permit Form. The process of obtaining a work permit can be complicated, so it is important to understand the requirements and procedures before you begin. This article will provide an overview of the work permit process, including information on eligibility and required documents.

Below, you will discover quite a few details about work permit form PDF. Before you fill out the form, it is usually definitely worth reading through more about it.

QuestionAnswer
Form NameWork Permit Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesgeorgia youth work permit, work permits in georgia, georgia work permit, how to get work permit in georgia

Form Preview Example

WORK PERMIT DATA SHEET

(For Collection of Information ONLY)

A

 

Information on Minor

 

(Please Print)

 

 

Name

 

 

 

 

 

Last

 

 

 

 

 

 

 

First

 

 

MI

 

Street

 

 

 

 

 

 

 

 

City, State, Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

County

 

 

 

 

 

 

 

Parent / Guardian's Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last

 

First

MI

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of Birth

 

 

 

 

 

Age

 

 

 

Race

 

 

 

 

 

 

Gender

 

 

 

 

Month

Day

Year

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SSN / Parent Alien Certification Number

 

 

 

 

 

 

Home Phone Number

(

)

 

 

 

 

 

 

 

 

 

 

 

Is minor a GA student?

 

 

 

 

If so, School of Attendance & Grade

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B

You must present a Birth Certificate to the Issuing Officer.

Employer Information

(Please Print)

For employer internet access go to www.dol.state.ga.us, select Child Labor, then select Online Work Permit

Name of Employer

Physical Address

City

 

 

 

State

 

 

Zip Code

 

 

County

 

Phone No.

 

 

 

Type of Industry

 

 

 

Job Duties:

 

 

 

 

 

 

 

 

 

#

 

:

AM / PM

:

AM / PM

Enter maximum hours per school day.

Hours will be scheduled between

 

 

 

 

 

Earliest Start Time

 

Latest End Time

 

 

 

#

#

#

Enter maximum hours per non-school-day. Hours will be scheduled between Enter maximum hours per week when school. in session .

Enter maximum hours per week when school. not in session.

:

AM / PM

 

: AM / PM

Earliest Start Time

 

Latest End Time

NOTE: Circle AM or PM.

# Each box requires a number.

/

 

/

Printed Name and Title of Employer providing information

Signature

Date

THIS IS NOT AN EMPLOYMENT CERTIFICATE.

This form is used for obtaining information for the issuance of electronic work permits. Minor completes Section A. Employer completes Section B in its entirety. Issuing Officer enters all data into online work permit system. After proper issuance of the electronic work permit by a school official, a printed copy of the completed work permit will be furnished to the minor for submittal to the employer prior to employment. The employer must retain the completed work permit for the duration of the minor's employment. If you have any questions, please contact the Department of Labor, Child Labor Section at 404-232-3260.

* All Fields Required

NOTE: When there is a difference in law (federal, state, and/or local) the law providing the most protection to the minor takes precedence.

Equal Opportunity Employer/Program * Auxiliary Aids & Services Are Available Upon Request To Individuals With Disabilities

CONFIDENTIAL

(02/06)

 

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