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Navigating the employment landscape for minors involves a series of legal steps designed to ensure the safety, well-being, and educational opportunities of young workers. The cornerstone of this legal framework is the Statement of Intent to Employ Minor and Request for Work Permit form, a crucial document that serves multiple purposes. It acts as a formal request from employers wishing to hire individuals under the age of 18, verifying the nature of the job, the working conditions, and the hours that the minor is expected to work. Moreover, this document ensures compliance with child labor laws, which carefully stipulate permissible work hours and conditions to safeguard minors from exploitation and ensure their education is not compromised. The process of obtaining a work permit through this form is a cooperative endeavor, requiring information and signatures from the minor, their parents or guardians, and the prospective employer. This orchestrated effort not only legalizes the employment of minors but also promotes a balanced approach towards work and education.

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Statement of Intent to Employ Minor and Request for Work Permit

Not a work permit —Print all information except signatures

For Minor to Complete

 

Write number in after printing

 

 

 

 

 

 

 

 

 

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 = 0.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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.

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.

File Characteristics

Fact Description
1. Purpose This form is designed to ensure that the employment of minors complies with federal and state labor laws.
2. Users It must be completed by employers who wish to hire individuals under the age of 18.
3. Information Required Details such as the minor's personal information, proposed work duties, work schedule, and employer information are necessary.
4. State-Specific Variations While this form is used across the United States, specific requirements can vary by state.
5. Governing Laws Both federal and state labor laws regulate the employment of minors and must be adhered to.
6. Signature Requirement Signatures from the employer, a parent or guardian of the minor, and sometimes a school official are required.
7. Age Verification The process involves verifying the age of the minor to ensure compliance with child labor laws.
8. Validity and Renewal The permit is valid for a specific period, often one year, and must be renewed for continued employment.
9. Restrictions There are restrictions on the hours and types of work minors can perform, which the form helps to enforce.
10. Educational Component Some states require proof that the minor is attending school as a condition for issuing a work permit.

Steps to Writing Statement of Intent to Employ Minor and Request for Work Permit

Once a minor has found a job opportunity, the next critical step is completing the Statement of Intent to Employ Minor and Request for Work Permit form. This document is crucial as it serves as the formal request for a work permit, ensuring that the employment of the minor complies with the legal standards and labor laws. The process of filling out this form involves providing detailed information about the minor, the employer, and the nature of the work to be performed. By carefully following the steps listed below, you can ensure that the form is filled out correctly, paving the way for a smooth approval process.

  1. Minor's Information: Start by entering the minor's full name, date of birth, and complete address, including the city, state, and zip code. Ensure that the information matches official documents.
  2. Parent or Guardian's Information: Fill in the name(s) of the minor's parent(s) or guardian(s), along with their contact details. This includes their phone number and email address, to facilitate communication if needed.
  3. School Information: Provide the name and address of the school the minor is currently attending. If the minor is not enrolled in school, provide an explanation in the space provided.
  4. Employer Information: Detail the prospective employer's name, address, and the type of business. This is crucial to ensure the work environment is suited for minors and complies with labor laws.
  5. Job Description: Describe the nature of the job the minor will be performing in detail. Include the job title, duties, and the skills required. This ensures the job is appropriate for the minor's age and capabilities.
  6. Work Schedule: Outline the proposed work schedule, including the number of hours per day and days per week the minor will work. It's important to adhere to legal restrictions regarding minors' work hours.
  7. Parent or Guardian's Signature: The form requires the signature of a parent or guardian to ensure they are aware and approve of the minor's intention to work.
  8. Employer's Agreement: The employer must sign the form, agreeing to employ the minor under the conditions outlined and to comply with all applicable labor laws.
  9. School Official's Signature: Finally, a school official must sign the form, indicating that the minor's employment will not interfere with their educational commitments and that the school approves the work permit request.

After completing the form, it should be submitted to the designated authority, usually within the minor's school district or a state labor department, depending on local regulations. From there, the form will be reviewed, and if everything is in order, the work permit will be issued. The minor should then provide the work permit to their employer to keep on file. Remember, the goal is to ensure that the minor’s work experience is safe, legal, and enriching, contributing positively to their development.

Important Details about 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?

This form is a legal document required for minors who wish to work. It confirms the intention of an employer to hire a minor and requests official permission for the minor to be employed under the regulations governing child labor laws. This ensures compliance with state and federal laws meant to protect minors in the workforce.

Who needs to complete the Statement of Intent to Employ Minor and Request for Work Permit form?

Both the employer and the minor seeking employment need to complete this form. Initially, the minor fills out their portion with personal details and information about the proposed job. Subsequently, the employer completes their section, verifying the job details and affirming their intention to hire the minor.

Where do I submit the completed form?

The completed form should be submitted to the minor's school's administrative office or the designated work permit official. In some states, this may also include a local Department of Labor office. It's essential to check specific state requirements for the precise submission process and location.

What happens after the form is submitted?

After submission, the work permit official at the school or the relevant department reviews the form. If all criteria are met and the employment does not violate any labor laws, a work permit will be issued to the minor. This permit officially allows the minor to start employment under the conditions outlined in the form.

Is it necessary to renew the work permit for each new job?

Yes, a new Statement of Intent to Employ Minor and Request for Work Permit form must be completed and a new work permit obtained for each job a minor takes. This ensures ongoing compliance with labor laws and that the conditions of each new employment are suitable for a minor. Renewal is also required if there are significant changes to the minor’s job duties or hours at the same job.

Common mistakes

Filling out the Statement of Intent to Employ Minor and Request for Work Permit form requires attention to detail and an understanding of the requirements. One common mistake is providing incomplete information. Occasionally, applicants leave sections blank because they are unsure of the answer or believe it to be irrelevant. Every field on the form serves a purpose and assists officials in making an informed decision, so omitting information can delay the process or result in the denial of the permit.

Another error involves incorrect information, which often happens with birth dates, social security numbers, or employer details. Accuracy is crucial because discrepancies can raise red flags, leading to unnecessary verification steps. It's imperative that all information provided on the form matches official documents and records. Failure to ensure this can significantly hinder the permit's issuance.

A further oversight is the failure to obtain the necessary signatures. The form typically requires the signatures of the minor, a parent or guardian, and the prospective employer. Occasionally, one or more of these parties might forget to sign or their signatures might be deemed invalid if not properly executed. These signatures confirm the parties' agreement and understanding of the employment arrangement and the minor's rights and responsibilities. Without them, the documentation is considered incomplete.

Underestimating the importance of accurate job descriptions is another common pitfall. The form requires a detailed description of the job duties the minor will undertake. This ensures that the employment complies with labor laws concerning minors, particularly regarding prohibited occupations and working hours. Vague or inaccurate job descriptions can result in the refusal of the work permit if it appears that the employment could violate labor laws.

Misinterpretation of legal requirements also leads to mistakes. Various states have specific laws governing the employment of minors, including the types of jobs they can do, the hours they can work, and the permits they need. Applicants often fail to research these requirements thoroughly before completing the form, potentially resulting in illegal employment arrangements. It's important to understand both state and federal regulations to ensure compliance.

Last but not least, rushing through the form without reviewing it for errors is a significant misstep. In the haste to secure employment, applicants might overlook misspellings, typos, or other errors that can affect the readability and professionalism of the application. Taking the time to review and correct such mistakes can improve the chances of a successful permit request.

In summary, when completing the Statement of Intent to Employ Minor and Request for Work Permit form, it's essential to provide complete and accurate information, obtain all necessary signatures, provide a clear job description, understand the legal requirements, and review the application for errors. Avoiding these common mistakes can streamline the process, making it easier for minors to step into the workforce legally and safely.

Documents used along the form

When a minor seeks to engage in employment, a variety of documents and forms beyond the Statement of Intent to Employ Minor and Request for Work Permit may be required to ensure compliance with labor laws and protection for underage workers. These materials help verify the minor's eligibility and capacity to work, safeguard their rights, and ensure that the employment environment adheres to the legal standards set forth for minor workers. Here's an overview of other common documents often used in conjunction with the Statement of Intent to Employ Minor and Request for Work Permit form:

  • Proof of Age Documentation: This can include a birth certificate, passport, or state-issued ID to verify the minor’s age, ensuring they meet the minimum age requirements for the type of work they are seeking to perform.
  • Parental Consent Form: A document that must be signed by the minor’s parent or legal guardian, giving permission for the minor to work. This ensures the legal guardians are informed and agree to the employment terms.
  • School Attendance Verification: A form or letter from the minor's school confirming that the minor is enrolled and attending school. This helps enforce laws ensuring that work does not interfere with the minor’s education.
  • Health Assessment or Medical Release: Certain jobs may require a health assessment or a medical release form completed by a healthcare provider, indicating the minor is physically capable of performing the job without risking their health.
  • Emergency Contact Information Form: This includes contact details of parents or guardians, to be used in case of an emergency. It ensures the employer can quickly contact the appropriate person if needed.
  • Job Description and Hours of Work: A detailed outline of the job duties, expectations, and the hours the minor will work. This helps to ensure the employment does not violate labor laws related to minor workers.
  • Employer's Liability Insurance: Documentation proving the employer’s liability insurance coverage is in place, protecting both the employer and the minor in case of work-related injuries.
  • Minor’s Education Commitment Statement: A form in which the minor commits to maintaining their educational obligations while employed. It may be part of reinforcing the importance of education alongside work responsibilities.

Navigating the employment of minors involves understanding and compiling necessary documentation that protects both the employee and employer. These documents are crucial in establishing a legal and safe working environment, ensuring that minors are engaged in work that is appropriate for their age and conducive to their overall well-being and development. Employers, parents, and the minors themselves should ensure that all necessary paperwork is accurately completed and filed to comply with labor laws and to foster a positive work experience.

Similar forms

The Statement of Intent to Employ Minor and Request for Work Permit form is closely related to the Minor's Consent to Work form. Both documents serve as essential tools in ensuring the legal employment of minors, focusing on obtaining consent and adhering to labor laws. The Minor's Consent to Work form, like the Statement of Intent, requires information about the minor’s potential employment and parental or guardian consent, emphasizing the importance of legal and parental oversight in the hiring process.

Similarly, the Employment Eligibility Verification Form (I-9) shares a common purpose with the Statement of Intent to Employ Minor and Request for Work Permit, in that both are critical for verifying an individual's eligibility to work in the United States. While the I-9 form is used for individuals of all ages, the Statement of Intent specifically focuses on minors, highlighting the need for extra protections and considerations for younger workers in the workforce.

The Work Opportunity Tax Credit (WOTC) Pre-screening Notice and Certification Request is another document that bears similarity to the Statement of Intent to Employ Minor and Request for Work Permit. Both forms are preliminary steps in the employment process, with the WOTC form aimed at identifying eligibility for employer tax credits when hiring individuals from certain groups, and the Statement of Intent focusing on minors. Each document ensures compliance with specific legal requirements prior to employment.

The Child Actor Permit, required in some states for minors working in the entertainment industry, also parallels the Statement of Intent to Employ Minor and Request for Work Permit. Both documents are designed to protect the rights and well-being of working minors by ensuring that their employment does not interfere with education and that labor laws are respected, though the Child Actor Permit specifically addresses the unique needs of minors in entertainment.

The Application for Minor Work Permit, found in several jurisdictions, directly correlates with the Statement of Intent to Employ Minor and Request for Work Permit by providing a structured process for minors to legally engage in work. This application often requires similar information to the Statement of Intent, including details about the prospective employer and the nature of the work, ensuring that employment is suitable and safe for the minor.

An Internship Agreement is akin to the Statement of Intent to Employ Minor and Request for Work Permit, as it outlines the terms and conditions of an intern’s role within a company. Though internships can apply to adults and minors, when involving minors, such agreements must consider labor laws and educational commitments, similar to how the Statement of Intent ensures compliance with regulations specific to young workers.

The Volunteer Agreement Form, while not directly related to paid employment, shares the ethos of ensuring a positive and legal engagement for minors looking to volunteer. Like the Statement of Intent, it often highlights the duties, expectations, and any educational benefits of the volunteer role, ensuring that the experience is in the minor's best interest and compliant with applicable laws.

Finally, the Student Learner Exemption forms, utilized when a minor’s employment is part of a vocational education program, resonate with the aims of the Statement of Intent to Employ Minor and Request for Work Permit. These forms ensure that the minor’s employment is educational and legal, emphasizing the safeguarding of education and adherence to labor standards, similar to the protective measures sought through the Statement of Intent.

Dos and Don'ts

Filling out the Statement of Intent to Employ Minor and Request for Work Permit form is a critical step for minors seeking employment. To ensure accuracy and improve the chance of approval, here are ten essential dos and don'ts to keep in mind:

  • Do gather all necessary information before beginning the form. This includes the minor's personal information, details about the prospective employer, and the type of work to be performed.
  • Do ensure that both the minor and the parent or guardian read the form thoroughly. Understanding the responsibilities and rights involved is crucial for all parties.
  • Do double-check that all information provided is accurate and current. Mistakes or outdated information can lead to unnecessary delays.
  • Do use a black or blue pen if completing the form by hand. This ensures that the form is legible and that all information can be clearly read.
  • Do keep a copy of the completed form for your records. It's important to have a record of what was submitted, in case there are any questions or issues later.
  • Don't leave any required fields blank. If a section does not apply, write "N/A" (Not Applicable) to indicate this. Incomplete forms may be returned or denied.
  • Don't rush through the form. Take the time to fill it out carefully and completely. Attention to detail can prevent errors that may delay the process.
  • Don't attempt to fill out the form without consulting the minor's parent or guardian. Their input and consent are necessary for the form to be processed.
  • Don't forget to sign and date the form where required. Unsigned forms are considered incomplete and cannot be processed.
  • Don't hesitate to ask for help if there are sections of the form that are unclear. It's better to seek clarification than to submit incorrect information.

By following these guidelines, individuals can streamline the process of obtaining a work permit for a minor. Remember, the goal is to ensure a smooth and compliant transition into the workforce, safeguarding the rights and wellbeing of young workers.

Misconceptions

The Statement of Intent to Employ Minor and Request for Work Permit form is an essential document in the employment process for minors, yet it is surrounded by misconceptions that can confuse both employers and young workers. Understanding the purpose and requirements of this form is crucial for ensuring compliance with labor laws and providing a safe and supportive work environment for minors. Here are four common misconceptions about this form:

  1. It's only necessary for full-time employment. Contrary to popular belief, the form is required for all types of employment, including part-time, seasonal, and even temporary positions. The primary purpose is to ensure that the employment is suitable for a minor’s age and to confirm that it does not interfere with their education.

  2. Once obtained, it's valid indefinitely. This is not the case. The work permit is typically valid for a specific period, usually coinciding with the school year. Employers and minors need to be aware that a new form must be submitted and a new permit obtained for each new job or if the minor continues working at the same job into a new school year.

  3. The form is the employer's responsibility alone. Although employers play a significant role in initiating the process by offering employment and completing their portion of the form, the responsibility is shared. The minor, their parent or guardian, and the school issuing the permit all have important roles to play, including providing information, approval, and ensuring the job does not harm the minor’s education.

  4. The process is complicated and time-consuming. While it may seem daunting at first, the process for obtaining a work permit is designed to be straightforward. Schools and employers familiar with the process can provide guidance, and many resources are available to help minors and their guardians navigate the requirements. With proper coordination, obtaining a work permit can be a quick and simple process.

Dispelling these misconceptions can streamline the employment process for minors, ensuring their rights are protected while allowing them to gain valuable work experience. It's essential for all parties involved—the employer, the minor, their parents or guardians, and the educational institution—to understand their roles and responsibilities regarding the Statement of Intent to Employ Minor and Request for Work Permit form.

Key takeaways

If you're planning to employ a young person under the age of 18, it's crucial to understand how to properly fill out and use the Statement of Intent to Employ Minor and Request for Work Permit form. This document is essential for both the employer and the young worker, ensuring that the employment is legal and appropriate for the minor’s age. Below are five key takeaways to consider during this process.

  • Accurate and Complete Information: Ensure all fields on the form are filled out with accurate information. This includes the minor's personal information, the employer’s details, and the specifics of the intended job. Incorrect or incomplete information may delay or invalidate the work permit.
  • Parent or Guardian’s Signature: A parent or guardian's signature is mandatory on the form. This serves as an acknowledgment and consent for the minor’s employment, emphasizing the importance of the minor's safety and well-being in the workplace.
  • Understanding of Work Restrictions: Different age groups have specific work restrictions and hour limits. It’s important for both the employer and the minor to be aware of these restrictions to avoid any legal issues. The form should reflect a job offer that complies with these regulations.
  • School Authorization Required: The form must be authorized by the minor's school, confirming that the employment does not interfere with the minor’s education. During school sessions, employment hours are usually limited to ensure education remains a priority.
  • Keep a Copy: Once the form is completed, submitted, and the work permit is issued, it’s important for both the employer and the minor to keep a copy. This document may be required for future reference to prove the legality of the minor’s employment.

Following these key points will streamline the process of obtaining a work permit for a minor, making sure that the employment experience is beneficial and compliant with state and federal laws. The goal is to foster a safe and positive work environment for young individuals starting their work journey.

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