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The CDE B1 4 form, officially known as the Permit to Employ and Work, is a crucial document for minors seeking employment in California. This form ensures that all necessary legal requirements are met before a minor can begin working. A work permit cannot be issued until the "Statement of Intent to Employ a Minor and Request for a Work Permit—Certificate of Age" (CDE Form B1-1) has been properly signed by a parent or guardian and submitted to the appropriate authority. The CDE B1 4 form outlines specific details such as the minor's personal information, including their name, age, and social security number, as well as the school they attend. It also specifies the maximum number of work hours permitted during school days and non-school days, ensuring compliance with California labor laws. The permit includes a section for the issuing authority to certify that all information is accurate and that they are knowledgeable about child labor laws. Additionally, the form must be signed by the minor, confirming their understanding of the terms. This process is designed to protect minors while allowing them to gain valuable work experience.

Preview - Cde B1 4 Form

STATE OF CALIFORNIA DEPARTMENT OF EDUCATION

PERMIT TO EMPLOY AND WORK CDE Form B1-4 (REV. 02-14)

A work permit shall not be issued to a minor until the “STATEMENT OF INTENT TO EMPLOY A MINOR AND REQUEST FOR A WORK PERMIT–CERTIFICATE OF AGE” (CDE From B1-1) form has been signed by the parent or guardian, foster parent, caregiver, or residential shelter service provider and filed with the issuing authority. California Education Code (EC) 49110(c)

(Print Information)

 

Permit Expiration Date

 

 

 

 

 

Check Permit Type:

 

 

 

 

 

 

Work permits shall expire five days after the opening of the next

Full-time

Work Experience Education,

 

 

succeeding school year. Full-time exempt work permits issued to 14

 

 

 

 

Vocational Cooperative

 

 

& 15 year olds shall expire no later than the end of the current school

Workability

 

 

year. EC 49118 and 49130

 

 

 

 

 

Education, or Personal Attendant

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Restricted

 

 

 

 

 

 

 

 

 

 

 

 

 

General

 

 

 

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Minor’s Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Minor’s Name (Print First and Last)

 

 

Social Security Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Home Phone

 

 

Age at Time of Issuance

Birth Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Home Address

 

 

 

 

 

City

 

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

School Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

School Name

 

 

 

 

 

School Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

School Address

 

 

 

 

 

City

 

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Maximum Work Hours Permitted

1.Maximum number of work hours on a school day

2.Maximum number of work hours on a non-school day

3.Maximum weekly work hours while school is in session

4.Maximum weekly work hours while school is not in session

Remarks or Work Limitations:

This permit is valid only at the business listed below:

Business Name

Business Address

To be signed by minor

Minor’s Signature

Date

Certification

I hereby certify that, to the best of my knowledge, the information herein is correct and true. I hereby certify that I have a working knowledge of child labor laws and all laws pertaining to the issuance of work permits in California. EC 49110

Issuing Authority’s Name and Title (Print)

Issuing Authority’s Signature

Date

Copy–District or County Superintendent; Parent or Legal Guardian; Employer

Document Specifics

Fact Name Description
Form Purpose This form is used to obtain a work permit for minors in California.
Pre-requisite A “Statement of Intent to Employ a Minor” must be signed and submitted before a work permit is issued.
Expiration Work permits expire five days after the next school year begins or at the end of the current school year for certain minors.
Governing Laws The form is governed by California Education Code (EC) 49110, 49118, and 49130.
Maximum Work Hours The form outlines maximum work hours for school days and non-school days.
Certification Requirement The issuing authority must certify the accuracy of the information provided on the form.

Cde B1 4: Usage Instruction

After gathering the necessary information, you can begin filling out the CDE B1-4 form. Ensure that all details are accurate and complete, as this will facilitate the processing of the work permit. Follow the steps below to fill out the form correctly.

  1. Print the minor's name, including first and last names, in the designated section.
  2. Enter the minor's Social Security number.
  3. Provide the home phone number of the minor.
  4. Indicate the age of the minor at the time of issuance.
  5. Fill in the minor's birth date.
  6. Complete the home address, including street, city, and zip code.
  7. Input the school name and school phone number.
  8. Provide the school address, including street, city, and zip code.
  9. Specify the maximum work hours permitted by filling in the following:
    • Maximum number of work hours on a school day.
    • Maximum number of work hours on a non-school day.
    • Maximum weekly work hours while school is in session.
    • Maximum weekly work hours while school is not in session.
  10. Include any remarks or work limitations in the designated section.
  11. Print the business name where the minor will be employed.
  12. Provide the business address, including street and city.
  13. Have the minor sign and date the form in the appropriate area.
  14. In the certification section, print the issuing authority’s name and title.
  15. Have the issuing authority sign and date the form.

Learn More on Cde B1 4

What is the CDE B1-4 form?

The CDE B1-4 form, also known as the Permit to Employ and Work, is a document required in California for minors seeking employment. This form must be filled out and signed by the minor and their parent or guardian. It serves as an official request for a work permit and outlines the minor's personal information, work limitations, and the issuing authority's details.

Who needs to sign the CDE B1-4 form?

The CDE B1-4 form must be signed by the minor and their parent or guardian. In some cases, a foster parent, caregiver, or residential shelter service provider may also sign the form. This signature indicates that the adult is aware of and approves the minor's intent to work.

How long is the work permit valid?

The work permit issued using the CDE B1-4 form is valid for a limited time. It expires five days after the opening of the next school year for full-time work experience education. For minors aged 14 and 15 with full-time exempt work permits, the permits expire no later than the end of the current school year.

What information is required on the form?

The CDE B1-4 form requires several pieces of information:

  • Minor’s name and Social Security number
  • Home address and phone number
  • Age and birth date
  • School information, including name and address
  • Maximum work hours permitted on school and non-school days
  • Business details where the minor will work

What are the maximum work hours permitted for minors?

The maximum work hours for minors vary based on whether school is in session or not:

  1. On a school day, the maximum number of work hours is limited.
  2. On a non-school day, a different maximum applies.
  3. While school is in session, there are weekly hour limits.
  4. When school is not in session, the weekly work hours may increase.

These limits are designed to ensure that work does not interfere with the minor's education.

Common mistakes

Completing the CDE B1-4 form accurately is crucial for obtaining a work permit for minors in California. However, many individuals make common mistakes that can delay the process or lead to complications. Here are ten frequent errors that people encounter when filling out this form.

One significant mistake is failing to secure the necessary signatures. The form requires a signature from a parent, guardian, or authorized adult before submission. Without this signature, the application cannot be processed. It is essential to ensure that the appropriate adult has signed the “Statement of Intent to Employ a Minor” section.

Another common error involves incorrect personal information. Minors must provide their full name, Social Security number, and birth date. Omitting any of these details can result in the rejection of the application. Double-checking this information for accuracy is vital.

People often overlook the section regarding maximum work hours. Each minor has specific limits on how many hours they can work during school and non-school days. Failing to accurately fill out these limits can lead to violations of labor laws, which may have serious consequences for both the employer and the minor.

Additionally, applicants sometimes neglect to provide complete school information. The form requires the name, address, and phone number of the school the minor attends. Incomplete or inaccurate school details can cause delays in processing the permit.

Some individuals mistakenly submit the form without reviewing the expiration dates of the work permit. Work permits have specific expiration dates tied to the school calendar. Not being aware of these dates can lead to working without a valid permit.

Another frequent oversight is failing to include the business information where the minor will be employed. The form specifies that the work permit is valid only for the listed business. Omitting the business name or address can render the permit invalid.

People also often misinterpret the certification section. The person filling out the form must certify that the information is accurate and that they understand child labor laws. Misunderstanding this requirement can lead to unintentional misrepresentation.

In some cases, individuals may submit the form without ensuring that all sections are filled out. Leaving any part of the form blank can lead to automatic rejection. It is crucial to review the entire document before submission.

Lastly, applicants may fail to keep a copy of the completed form for their records. Retaining a copy can be beneficial if there are any questions or issues that arise later. This simple step can save time and confusion in the future.

In conclusion, being aware of these common mistakes can help streamline the process of obtaining a work permit for minors. Careful attention to detail and thorough review of the CDE B1-4 form can prevent unnecessary delays and complications.

Documents used along the form

The CDE B1 4 form is essential for minors seeking employment in California. Several other forms and documents are often used alongside it to ensure compliance with labor laws and to facilitate the work permit process. Below is a list of these related documents, each described briefly for clarity.

  • CDE Form B1-1: This form is the "Statement of Intent to Employ a Minor and Request for a Work Permit - Certificate of Age." It must be signed by the minor's parent or guardian before a work permit can be issued.
  • CDE Form B1-2: Known as the "Application for Work Permit," this form provides additional details about the minor's employment and is submitted to the issuing authority for approval.
  • CDE Form B1-3: This is the "Work Permit Cancellation Form." Employers must use this form to notify the issuing authority when a minor's employment is terminated.
  • Employer's Statement: This document outlines the terms of employment and must be completed by the employer. It verifies that the minor will be working under the conditions specified in the work permit.
  • Parental Consent Form: This form is required to obtain explicit consent from the minor's parent or guardian for the minor to work. It ensures that the parent is aware of the employment situation.
  • Child Labor Laws Summary: A document summarizing relevant child labor laws in California. It provides important information regarding the rights of minors in the workforce.
  • School Verification Form: This form is used to confirm the minor's school enrollment and attendance. It helps ensure that the minor's work hours do not interfere with their education.
  • Health and Safety Guidelines: A document outlining the health and safety standards that must be followed in the workplace. It is crucial for protecting the well-being of minors while they are employed.

These documents work together to create a comprehensive framework for minor employment in California. Understanding each form's purpose can streamline the process and ensure compliance with state regulations.

Similar forms

The "Statement of Intent to Employ a Minor and Request for a Work Permit – Certificate of Age" (CDE Form B1-1) serves as a foundational document for issuing work permits to minors in California. Similar to the CDE B1-4 form, it requires parental or guardian consent before a minor can be employed. This form collects essential information about the minor, including their age and the nature of the employment. It establishes a legal framework ensuring that minors are not only protected under child labor laws but also that their employment is appropriately supervised and documented.

The "Application for Work Permit" (CDE Form B1-2) closely resembles the CDE B1-4 in that it is also used to secure permission for minors to work. This form requires detailed information about the minor, including their school and employment details. It emphasizes the importance of parental consent and includes sections that outline the responsibilities of both the employer and the minor. Like the CDE B1-4, it is designed to ensure compliance with state labor laws, safeguarding the rights of young workers.

The "Work Experience Education Agreement" (CDE Form B1-3) is another document that aligns with the CDE B1-4 form's purpose. This agreement outlines the terms and conditions under which a minor can participate in work experience education programs. It details the educational objectives, work responsibilities, and hours of work expected from the minor. Both forms share the goal of balancing education and work, ensuring that minors gain valuable experience while adhering to legal regulations.

The "Parental Consent Form" is a critical document that parallels the CDE B1-4 form in its requirement for parental or guardian approval. This form specifically focuses on obtaining consent for minors to engage in various activities, including employment. It serves as a safeguard, ensuring that parents are informed and supportive of their child's work endeavors. Like the CDE B1-4, it emphasizes the importance of parental involvement in the employment process for minors.

The "Employer's Statement of Compliance" is similar to the CDE B1-4 form in that it holds the employer accountable for adhering to child labor laws. This document requires employers to affirm that they understand and will comply with all relevant regulations concerning the employment of minors. Both forms work together to ensure that minors are treated fairly and that their rights are protected in the workplace.

The "Certificate of Age" serves a similar function to the CDE B1-4 form by verifying the age of a minor seeking employment. This document is crucial for employers to ensure they are compliant with age-related labor laws. It provides proof that the minor meets the legal age requirements for the specific job, thereby preventing unlawful employment practices. Both forms play a significant role in confirming the eligibility of minors for work.

The "Work Permit Renewal Form" is another document that shares similarities with the CDE B1-4. This form is used when a minor's work permit is set to expire and requires renewal. It involves re-evaluating the minor’s eligibility and compliance with work regulations. Just like the CDE B1-4, it aims to ensure that minors continue to meet the necessary criteria for employment while maintaining a focus on their education and safety.

Dos and Don'ts

When filling out the CDE B1-4 form, there are specific actions to take and avoid to ensure the process goes smoothly. Below is a list of recommended practices.

  • Do: Ensure that the “Statement of Intent to Employ a Minor and Request for a Work Permit” form is signed by the appropriate adult.
  • Do: Double-check all personal information for accuracy, including the minor's name, Social Security number, and birth date.
  • Do: Fill out the maximum work hours permitted section completely, as this is crucial for compliance.
  • Do: Submit the form to the issuing authority in a timely manner to avoid delays in processing.
  • Don't: Leave any sections of the form blank; incomplete forms may be rejected.
  • Don't: Use incorrect or outdated information; this can lead to complications with the work permit.
  • Don't: Forget to sign the form; both the minor and the issuing authority must provide their signatures.
  • Don't: Ignore the expiration dates of work permits; ensure that the permit is valid for the intended work period.

Misconceptions

Understanding the CDE B1 4 form is essential for employers and guardians of minors in California. However, several misconceptions can lead to confusion. Here are eight common misunderstandings about this work permit form:

  • Misconception 1: The CDE B1 4 form can be issued without prior approval.
  • This form cannot be issued until the “Statement of Intent to Employ a Minor and Request for a Work Permit—Certificate of Age” (CDE Form B1-1) is signed and submitted.

  • Misconception 2: The work permit is valid indefinitely.
  • Work permits expire five days after the opening of the next school year or at the end of the current school year for certain minors.

  • Misconception 3: Any employer can use the permit for any business.
  • This permit is only valid for the specific business listed on the form.

  • Misconception 4: Minors can work any number of hours as long as school is not in session.
  • There are still maximum work hour limits that apply, even when school is out.

  • Misconception 5: The minor does not need to sign the permit.
  • The minor's signature is required to certify that the information provided is correct.

  • Misconception 6: Parents or guardians do not need to be involved in the process.
  • Parental or guardian consent is necessary for the work permit to be valid.

  • Misconception 7: The issuing authority does not need to verify the information.
  • The issuing authority must certify that they have a working knowledge of child labor laws and the information provided is accurate.

  • Misconception 8: The CDE B1 4 form is the only requirement for employing minors.
  • Employers must also comply with all applicable child labor laws beyond just obtaining the work permit.

Key takeaways

Here are some important points to keep in mind when filling out and using the CDE B1-4 form:

  • Obtain Parental Consent: Before applying for a work permit, ensure that the “Statement of Intent to Employ a Minor and Request for a Work Permit–Certificate of Age” (CDE Form B1-1) is signed by a parent or guardian. This form must be submitted to the issuing authority.
  • Know the Expiration Dates: Be aware that work permits expire five days after the start of the next full-time school year. For certain minors, such as 14-year-olds in vocational programs, permits may expire at the end of the current school year.
  • Fill Out Required Information: Provide accurate details about the minor, including their name, age, and social security number. This information is crucial for the validity of the work permit.
  • Understand Work Limitations: Familiarize yourself with the maximum work hours allowed during school days and non-school days. This ensures compliance with child labor laws.