If you're a Maryland resident and you plan on working in the state, you'll need to complete and submit a Workers Permit Maryland Form. This form is used to ensure that all workers in the state are legally authorized to work, and it's important that you submit it as soon as possible after you begin working. Failure to do so may result in fines and other penalties. Here we'll provide some more information about the Workers Permit Maryland Form and how to complete it.
We have gathered some interesting details about the workers permit maryland. You will have the estimated time you may need to fill in the form and a few further details.
| Question | Answer |
|---|---|
| Form Name | Workers Permit Maryland |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names |
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
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Type or print and make sure it is legible. |
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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 |
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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
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 |
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State |
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Street Address |
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City |
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County |
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The |
Zip Code |
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To |
Telephone |
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Telephone Extension |
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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