Workers Permit Maryland PDF Details

In Maryland, the process of obtaining legal employment for minors is structured to ensure the protection and verification of the young worker's age, work type, and educational status. The State of Maryland Department of Labor, Licensing & Regulation's Division of Labor & Industry spearheads this initiative through the use of a comprehensive Workers Permit Maryland form. This application is a critical piece in a multi-step procedure designed to safeguard minors by necessitating the completion of designated sections by the minor, the prospective employer, and the minor's parent or guardian. With each section, the form collects essential information, including the minor's personal details, the employer's information, and parental consent. To further validate the minor's eligibility for work, proof of age is required, with acceptable documents including a birth certificate, school records, or a valid Maryland driver's license among others. Following the completion and submission of this form online, the minor must then take the application receipt and their proof of age to an Issuing Officer to request an official Maryland Minor Work Permit. This permit, which is non-transferable and must be renewed with each new employment opportunity until the minor reaches the age of 18, will then be delivered to the employer, thereby completing the legal prerequisites for employing a minor in Maryland.

QuestionAnswer
Form NameWorkers Permit Maryland
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesworkpermitappli cation work permit maryland form

Form Preview Example

STATE OF MARYLAND

DEPARTMENT OF LABOR, LICENSING & REGULATION DIVISION OF LABOR & INDUSTRY

1100 N EUTAW STREET - BALTIMORE - MARYLAND - 21201

APPLICATION FOR

WORK PERMIT FOR A MINOR

1. Complete your section of the this application.

To The Minor

First Name

Last Name

Street Address

City

County

State

Zip Code

Home Telephone

 

Type or print and make sure it is legible.

 

Use your correct legal name.

2.

Have the Employer complete the Employer section.

3.

Have your parent or guardian sign this application.

4.

Use the data to complete the on-line application:

 

www.dllr.state.md.us/labor/empm.shtml

For Proof of Age, You may use:

Birth Certificate

School Records

Valid Maryland Driver's License

Any official Government document

5. Take this Application, the on-line Application Receipt and your Proof of Age to any Issuing Officer and

Date Of Birth

Month

Day

Year

School Name

request a Maryland Minor Work Permit.

6.Deliver the official Work Permit to your employer.

* A new permit must be obtained for each job *

1.Complete your section of this application and return it to the minor for validation.

2.Do not allow minor to work until the official work permit is in your possession. 3.Work permits are not transferable and are required until the minor's 18th birthday.

Employer

Company Name

State

 

Street Address

 

City

 

County

The

Zip Code

 

To

Telephone

Telephone Extension

 

 

Employer Rep Name

Employer Rep Signature

Work Duties

XSelect - Type of Business

Accommodation & Food Services

Administrative & Waste Services

Agriculture, Forestry, Fishing & Hunting

Arts, Entertainment & Recreation

Construction

Educational Services

Finance & Insurance

Health Care & Social Assistance

Information

Management of Companies & Enterprises

Manufacturing

Mining

Other Services except Public Administration

Professional & Technical Services

Public Administration

Real Estate & Renting & Leasing

Retail Trade

Transportation and Warehousing

Unknown

Utilities

Wholesale Trade

To The

Parent or Guardian

This minor is being employed at the place of work described above with my full knowledge and consent. I hereby certify that, to the best of my knowledge, the information herein is correct and true. I request that a work permit be issued for the above named minor.

Signature of Parent or Guardian

Date

To The

Issuing

Officer

1. Verify the minor has signed and dated the correct and true statement below.

I hereby certify that, to the best of my knowledge, the information herein is correct and true.

Signature of Minor

Date

2.Do not accept an incomplete application.

3.The Division of Labor and Industry requires you retain this application in your file for 2 years from date of issuance.

Control Number

Date of Issue

How to Edit Workers Permit Maryland Online for Free

Completing Workers Permit Maryland is easy. Our team developed our tool to make it simple to operate and assist you to complete any form online. Below are some steps you will want to take:

Step 1: Choose the "Get Form Here" button.

Step 2: You'll find each of the functions that you can take on the document after you've accessed the Workers Permit Maryland editing page.

All of the following areas are going to make up your PDF file:

entering details in Workers Permit Maryland part 1

Fill in the Arts Entertainment Recreation, Construction, Educational Services, Finance Insurance, Health Care Social Assistance, Information, Management of Companies, Manufacturing, Mining, Other Services except Public, Professional Technical Services, Public Administration, Real Estate Renting Leasing, Retail Trade, and Transportation and Warehousing field with the particulars required by the program.

part 2 to completing Workers Permit Maryland

The software will require data to automatically submit the box Signature of Minor, Date, Do not accept an incomplete, Date of Issue, Control Number, and To The Issuing Officer.

Workers Permit Maryland Signature of Minor, Date, Do not accept an incomplete, Date of Issue, Control Number, and To The Issuing Officer blanks to fill

Step 3: As soon as you are done, click the "Done" button to upload the PDF file.

Step 4: Prepare no less than a couple of copies of your file to stay away from any specific upcoming concerns.

Watch Workers Permit Maryland Video Instruction

Workers Permit Maryland isn’t the one you’re looking for?

Related Documents

  • Work Permit Form

    "... Work permit data sheet: Information on minora Please print last name, street code and county. Parent guardian must also be present. Employer information can be printed at www.dolstatega.gov. Select child labor. Enter the name of ..."

  • Workers Compensation C 4 Form

    "... Patient name Social Security no address Address of Insurance Carrier Name Attending Doctor Name address Provider Authorization No Telephone No fax Requested Response if service denied. All questions must be answered fully by the state ..."

  • Workers Compensation Injury Report

    "... Workers compensation claim number OSHA log purpose code jurisdiction code claim number insured report number Employer name employer address in the cl Zip location Industry code address of the employer. If different from the employer's ..."

  • Workers Compensation Intake Form

    "... Rev 11 13 Professional Liability Fund Workers Comp in Take Form Doc Workers Compensation Case in Take Form Date Client Information Phone Number Education Spouse Partner phone Name Address Phone Employment Insurance Union Membership Primary ..."

Please rate Workers Permit Maryland

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 .