Contents
When it comes to employing minors, it's essential to follow the right steps to ensure compliance with labor laws. The Statement of Intent to Employ Minor and Request for Work Permit form plays a crucial role in this process. This form is designed to protect young workers while allowing them to gain valuable work experience. It requires details about the minor's employment, including the job description, hours of work, and the employer's information. Additionally, it must be signed by a parent or guardian, ensuring that they are aware of and approve the minor's employment. Employers must also provide proof of the minor's age, typically through a birth certificate or other identification. Understanding this form is key for both employers and parents, as it helps navigate the legal requirements and safeguards the well-being of young employees.
Preview - Statement of Intent to Employ Minor and Request for Work Permit Form
Statement of Intent to Employ Minor and Request for Work Permit
Not a work permit —Print all information except signatures
For Minor to Complete
•
Minor’s name (last name first)
Social security number
Date of birth
Age
Grade
Street address
City
ZIP Code
Home telephone
School name
Street address
City
ZIP Code
School telephone
For Employer to Complete (Please review rules for employment of minors on reverse.)
•
Name of business
Street address
City
ZIP Code
Business telephone
Minor’s work duties
Hourly wage
Maximum number of hours of employment when school is in session:
Mon.
Tues.
Wed.
Thurs.
Fri.
Sat.
Sun.
Weekly =
In compliance with California labor laws, this employee is covered by worker’s compensation insurance. This
business does not discriminate unlawfully on the basis of race, ethnic background, religion, sex, sexual orientation,
color, national origin, ancestry, age, physical handicap, or medical condition. I hereby certify that, to the best of my
knowledge, the information herein is correct and true.
Supervisor’s signature
Supervisor’s name (print or type)
For Parent or Guardian to Complete
This minor is being employed at the place of work described 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.
In addition to this employer, my child is working for:
Name of business
Signature of parent or legal guardian
Date
For School to Complete
Type:
Regular
Evidence of minor’s age
Vacation
Year-Round
Signature of verifying authority
Work Experience Education
Other (specify)
CALIFORNIA DEPARTMENT OF EDUCATION FORM B1-1 (revised 6/03)
IMPORTANT: See reverse side for additional information.
Write number in after printing
0.00
General Summary of Minors’ Work Regulations
• If federal laws, state laws and school district policies
conflict, the more restrictive law (the one most
protective of the employee) prevails.
• Generally, minors must attend school until age 18 unless
they are 16 years or older and have graduated from high
school or received a state Certificate of Proficiency.
• Employers of minors required to attend school must
complete a “Statement of Intent to Employ Minor and
Request for Work Permit” (form B1-1) for the school
district of attendance for each such minor.
• Employers must retain a “Permit to Employ and Work”
(form B1-4) for each such minor.
• Work permits (B1-4) must be retained for three years and
be available for inspection by sanctioned authorities at all
times.
• A work permit (B1-4) must be revoked whenever the
issuing authority determines the employment is illegal or
is impairing the health or education of the minor.
Minors under the age of 18 may not work in environments
declared hazardous or dangerous for young workers as
listed below:
1. Explosive exposure
2. Motor vehicle driving/outside helper
3. Coal mining
4. Logging and sawmilling
5. Power-driven woodworking machines
6. Radiation exposure
7. Power-driven hoists/forklifts
8. Power-driven metal forming, punching, and shearing
machines
9. Other mining
10. Power-driven meat slicing/processing machines
11. Power-baking machines
12. Power-driven paper products/paper bailing machines
13. Manufacturing brick, tile products
14. Power saws and shears
15. Wrecking, demolition
16. Roofing
17. Excavation operation
For more complete information about hazardous occupations,
contact the U.S. Department of Labor (Child Labor Bulletins
101 and 102) and the California Department of Industrial
Relations, Division of Labor Standards Enforcement. Regional
offices are located in several California cities. They are listed
in the “Government Listings” sections of telephone
directories.
• Minors younger than 16 years are allowed to work only in
limited, specified occupations that exclude baking,
manufacturing, processing, construction, warehouse, and
transportation occupations.
• In addition to safety regulations, labor laws applicable to
adult employees also generally apply to minor employees,
including workers’ compensation insurance requirements.
• Child labor laws do not generally apply to minors who
deliver newspapers or work at odd jobs, such as yard
work and baby-sitting, or in private homes where the
minor is not regularly employed.
• A day of rest from work is required if the total hours
worked per week exceed 30 or if more than 6 hours are
worked on any one day during the week.
Ages Hours of Work
16 – 17 When school is in session: Daily maximum of 4
hours, Monday through Thursday. May work up
to 8 hours on any non-school day or on any day
that precedes a non-school day. May be
permitted to work up to 48 hours per week.
Students in Work Experience Education or
cooperative vocational education programs may
be permitted to work a maximum of 8 hours on a
school day.
When school not in session: May work up to 48
hours per week but no more than 8 hours in any
one day.
Work must be performed no earlier than 5 a.m.
or later than 10 p.m. except that work may
extend to 12:30 a.m. on nights preceding non
-
school days. Students in Work Experience
Education or cooperative vocational education
programs may be authorized to work until 12:30
a.m. on nights preceding school days with
specified written permission.
14 – 15 When school is in session: On school days daily
maximum 3 hours. On non-school days may
work 8 hours. Weekly maximum of 18 hours.
Students in Work Experience Education and
career exploration programs may work up to 23
hours per week.
When school is not in session: Daily maximum 8
hours and weekly maximum 40 hours.
May not work during public school hours except
students in Work Experience Education or career
exploration programs.
Work must be performed no earlier than 7 a.m.
nor later than 7 p.m. any day of the week. From
June 1 to Labor Day work hours may be
extended to 9 p.m.
Younger Labor laws generally prohibit nonfarm
than 14 employment of children younger than 14.
Special rules apply to agricultural work,
domestic work and the entertainment industry.
Document Specifics
| Fact Name | Detail |
|---|---|
| Purpose | The Statement of Intent to Employ Minor and Request for Work Permit form is used to obtain permission for a minor to work legally. |
| Eligibility | Minors typically need to be at least 14 years old to apply for a work permit, although this can vary by state. |
| Parental Consent | A parent or guardian must sign the form to provide consent for the minor to work. |
| State Variations | Each state has its own version of the form, which may include specific requirements and conditions. |
| Governing Laws | The form is governed by state labor laws that regulate the employment of minors. |
| Employer Responsibilities | Employers must ensure that they comply with state laws regarding the hours and types of work permitted for minors. |
| Submission Process | The completed form must be submitted to the appropriate state labor department or agency for approval. |
| Expiration | Work permits for minors often have an expiration date and may need to be renewed periodically. |
| Record Keeping | Employers are required to keep records of work permits for minors as part of compliance with labor laws. |
Statement of Intent to Employ Minor and Request for Work Permit: Usage Instruction
After completing the Statement of Intent to Employ Minor and Request for Work Permit form, the next steps involve submitting the form to the appropriate authority for processing. Ensure all information is accurate and complete to avoid delays.
- Obtain the Statement of Intent to Employ Minor and Request for Work Permit form from your local labor office or download it from the official website.
- Fill in the minor's personal information, including their full name, date of birth, and address.
- Provide the employer's details, including the business name, address, and contact information.
- Specify the type of work the minor will be performing and the hours they will work.
- Include the signature of the employer or authorized representative, along with the date of signing.
- Have the minor's parent or guardian sign the form, indicating their consent for the minor to work.
- Review the completed form for accuracy and completeness.
- Submit the form to the appropriate local labor office or agency, as instructed.
Learn More on Statement of Intent to Employ Minor and Request for Work Permit
What is the Statement of Intent to Employ Minor and Request for Work Permit form?
The Statement of Intent to Employ Minor and Request for Work Permit form is a document that employers must complete to legally hire individuals under the age of 18. This form ensures compliance with labor laws regarding the employment of minors and outlines the conditions under which they can work.
Who needs to fill out this form?
Employers who wish to hire minors must fill out this form. Additionally, a parent or guardian must also provide their consent. This ensures that the minor’s employment is monitored and that their rights are protected.
What information is required on the form?
The form typically requires the following information:
- Employer’s name and contact information
- Minor’s name, date of birth, and address
- Type of work the minor will be doing
- Hours of work and days of the week
- Parent or guardian’s consent and signature
How does the work permit process work?
After completing the form, the employer submits it to the appropriate state agency or school district. The agency will review the information and determine whether to issue a work permit. If approved, the employer will receive confirmation that the minor can begin working.
Are there restrictions on the type of work minors can do?
Yes, there are restrictions. Minors are generally prohibited from working in hazardous occupations, such as construction or certain types of manufacturing. Each state may have specific guidelines outlining which jobs are permissible for minors, so it is essential to check local regulations.
What are the age requirements for minors to work?
In the United States, the Fair Labor Standards Act (FLSA) establishes that individuals can begin working at age 14, with certain restrictions. The rules can vary by state, so it is important to verify the age requirements specific to your location.
How long is the work permit valid?
The validity of a work permit can vary based on state regulations. Typically, work permits are valid for the duration of the minor’s employment or until the minor reaches a certain age, such as 18. Employers should keep track of expiration dates to ensure compliance.
What should I do if the minor stops working?
If the minor ceases employment, the employer should notify the issuing agency or school district. This helps maintain accurate records and ensures that the minor's work permit status is updated accordingly.
Common mistakes
Completing the Statement of Intent to Employ Minor and Request for Work Permit form can be a straightforward process, but several common mistakes often arise. One frequent error is failing to provide accurate personal information. It is essential to ensure that the minor’s name, address, and date of birth are correct. Any discrepancies can lead to delays or even rejection of the application.
Another mistake is neglecting to include the employer’s information. The employer’s name, address, and contact details must be clearly stated. Omitting this information can create confusion and hinder the processing of the work permit.
Many individuals also overlook the requirement for signatures. Both the employer and the parent or guardian must sign the form. Without these signatures, the application is incomplete and cannot be processed.
Additionally, some applicants fail to check the specific age requirements for the type of work the minor will be doing. Different jobs have varying regulations regarding the minimum age for employment. Not adhering to these rules can result in legal issues for both the employer and the minor.
Another common oversight is misunderstanding the hours of work allowed for minors. Each state has specific regulations regarding the number of hours minors can work, especially during school sessions. It is crucial to be aware of these limits to avoid penalties.
Inaccurate or insufficient information regarding the job description is also a frequent problem. The form requires a clear and concise description of the duties the minor will perform. Vague descriptions can lead to misunderstandings about the nature of the work.
Some people mistakenly believe that the form can be submitted without any supporting documentation. However, it is often necessary to include additional paperwork, such as proof of age or school enrollment. Failing to attach these documents can delay the approval process.
Another error involves not keeping a copy of the completed form for personal records. Having a copy can be beneficial for future reference or in case any issues arise during the application process.
Additionally, applicants sometimes misinterpret the deadlines for submission. Each state may have different timelines for when the form must be submitted before the minor can begin working. Missing these deadlines can prevent the minor from starting their job on time.
Lastly, individuals may not seek assistance when needed. If there are uncertainties about filling out the form, reaching out to the appropriate authorities or seeking guidance can prevent mistakes. Taking the time to clarify any doubts can save significant time and effort in the long run.
Documents used along the form
The Statement of Intent to Employ Minor and Request for Work Permit form is essential for employers looking to hire minors. Along with this form, several other documents may be required to ensure compliance with labor laws. Below is a list of forms commonly used in conjunction with the Statement of Intent.
- Parental Consent Form: This document is signed by a parent or guardian, granting permission for the minor to work. It often includes details about the job and hours of work.
- Employment Application: An application form completed by the minor, providing personal information, work experience, and references. This helps employers assess the candidate’s suitability for the job.
- Work Permit Issuance Form: After the Statement of Intent is approved, this form is issued by the appropriate state agency. It officially allows the minor to begin working.
- Health and Safety Training Acknowledgment: This document confirms that the minor has received training on workplace safety and understands the risks associated with their job.
- Wage and Hour Agreement: A form outlining the agreed-upon wage and work hours for the minor. This ensures both parties are clear about compensation and expectations.
Having these documents in order is crucial for a smooth hiring process. They protect both the employer and the minor, ensuring that all legal requirements are met.
Similar forms
The Statement of Intent to Employ Minor and Request for Work Permit form shares similarities with the Employment Application form. Both documents serve as preliminary steps in the employment process. An Employment Application collects essential information about the applicant, such as their personal details, work history, and references. Similarly, the Statement of Intent focuses on the employer's intent to hire a minor and outlines the conditions under which the minor will be employed. Both forms ensure that the necessary information is gathered to assess eligibility and compliance with labor laws.
Another document that parallels the Statement of Intent is the Parental Consent Form. This form is crucial when minors are involved in employment situations. It requires the signature of a parent or guardian, giving permission for the minor to work. Like the Statement of Intent, the Parental Consent Form protects the interests of the minor by ensuring that a responsible adult is aware of and agrees to the employment terms. Both documents highlight the importance of parental involvement in the employment of minors.
The Child Labor Laws Compliance Form is also similar in purpose and function. This document ensures that employers adhere to regulations designed to protect minors in the workforce. It outlines the specific conditions under which minors can work, including hours and types of jobs. The Statement of Intent serves as a declaration of the employer's commitment to follow these laws, thereby reinforcing the importance of compliance in the employment of minors.
The Job Description Form is another related document. This form details the specific responsibilities and expectations of the position being offered to the minor. While the Statement of Intent indicates the employer's intent to hire, the Job Description Form provides clarity on what the job entails. Together, these documents help ensure that both the employer and the minor understand the terms of employment, fostering a transparent working relationship.
Additionally, the Safety Training Acknowledgment Form is similar in that it emphasizes the safety and well-being of the minor. This document is often required to ensure that minors receive appropriate safety training for their job. The Statement of Intent may reference safety measures or training that will be provided, highlighting the employer's responsibility to create a safe working environment. Both forms contribute to the overall protection of minors in the workplace.
The Wage and Hour Compliance Form also bears resemblance to the Statement of Intent. This document ensures that the employer is aware of and complies with wage laws applicable to minors. It outlines the minimum wage, working hours, and any overtime regulations. The Statement of Intent may include information regarding the wage offered to the minor, reinforcing the importance of fair compensation in compliance with labor laws.
Lastly, the Work Experience Program Agreement is similar as it pertains to minors seeking employment as part of an educational or vocational program. This agreement outlines the terms of the work experience, including the employer's responsibilities and the minor's educational goals. The Statement of Intent serves as a formal acknowledgment of the employer's role in providing a work experience opportunity, aligning the interests of education and employment for minors.
Dos and Don'ts
When filling out the Statement of Intent to Employ Minor and Request for Work Permit form, it is important to follow certain guidelines to ensure a smooth process. Here are ten things you should and shouldn't do:
- Do: Read the entire form carefully before starting.
- Do: Provide accurate information about the minor’s personal details.
- Do: Ensure that the employer's information is complete and correct.
- Do: Include the minor's work hours and job description.
- Do: Sign the form where required.
- Don't: Leave any sections blank unless instructed.
- Don't: Use incorrect or outdated information.
- Don't: Forget to check for spelling and grammatical errors.
- Don't: Submit the form without the necessary signatures.
- Don't: Assume the form is complete without a final review.
Following these guidelines will help ensure that the form is filled out correctly and processed in a timely manner.
Misconceptions
When it comes to employing minors, many people have misconceptions about the Statement of Intent to Employ Minor and Request for Work Permit form. Understanding the truth behind these misconceptions can help ensure compliance with labor laws and protect the rights of young workers.
- Misconception 1: The form is only required for certain types of jobs.
- Misconception 2: Parents do not need to be involved in the process.
- Misconception 3: The form is just a formality and does not require careful attention.
- Misconception 4: Once the form is submitted, it cannot be changed.
- Misconception 5: Minors can work any hours they want once they have the permit.
This is not true. The form is generally required for all employment of minors, regardless of the job type. Whether it's a summer job, part-time work, or internships, the form must be completed to ensure legal compliance.
In reality, parental consent is a crucial part of the process. Parents or guardians must sign the form, indicating their approval for the minor to work. This ensures that they are aware of the working conditions and hours.
This misconception can lead to serious consequences. Each section of the form is important and must be filled out accurately. Errors or omissions can delay the issuance of a work permit and may even result in penalties.
In fact, if there are changes to the minor's employment situation, such as a change in hours or job duties, the form can be amended. It’s essential to keep the information current to comply with labor regulations.
This is a common misunderstanding. Even with a work permit, there are strict regulations regarding the number of hours and times minors can work. These rules vary by age and must be followed to ensure the safety and well-being of young workers.
Key takeaways
When filling out and using the Statement of Intent to Employ Minor and Request for Work Permit form, there are several important points to keep in mind. These takeaways will help ensure a smooth process for both employers and minors seeking employment.
- Understand eligibility requirements: Before completing the form, confirm that the minor meets the age and work hour restrictions set by state laws.
- Complete all sections accurately: Ensure that every part of the form is filled out correctly. Incomplete or incorrect information can lead to delays or denials.
- Obtain necessary signatures: The form must be signed by both the employer and the minor's parent or guardian. This step is crucial for legal compliance.
- Submit the form on time: Be aware of deadlines for submitting the form to the appropriate state agency. Timely submission helps avoid disruptions in the hiring process.
- Keep copies for records: After submitting the form, retain copies for your records. This documentation can be helpful for future reference or in case of any disputes.
By following these key takeaways, employers can effectively navigate the process of employing minors while ensuring compliance with legal requirements.