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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.

QuestionAnswer
Form NameWorkers Permit Maryland
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names

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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