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The work permit form serves as a crucial bridge between minors wishing to enter the workforce and the legal requirements set forth to protect their well-being in the United States. At the core of this document are sections dedicated to capturing exhaustive details about the student or applicant, including their personal information, the nature of the employment being considered, and the specific responsibilities that would be undertaken. The form meticulously outlines the requirement for a physician's certificate, ensuring the minor's fitness for the proposed job, alongside a parental or guardian's consent, which underscores the legal guardians' pivotal role in approving and overseeing their ward's employment engagement. Moreover, the form acts as a pledge from employers, affirming their commitment to adhere to labor laws designed to regulate the employment of minors. This ensures a dual-layered protection mechanism: safeguarding the educational commitments of the youth while providing them the opportunity to gain valuable work experience. Embedded within this framework is the implicit understanding that while minors may work, their employment should not come at the expense of their education or well-being—a principle that is emphasized through specific stipulations regarding working hours, nature of employment, and the legal ramifications of failing to comply with these statutes. Through this comprehensive approach, the work permit form embodies a critical role in balancing the interests of all parties involved, ensuring a controlled and beneficial introduction of young individuals to the workforce.

Preview - Work Permit Form

APPLICATION FOR MINOR WORK PERMIT

STUDENT / APPLICANT INFORMATION

3331 02 ORC

4109 02 ORC

Name of Student / Applicant in full:

 

Sex:

 

 

Grade Level:

 

 

 

 

 

 

 

 

 

Male

 

Female

 

 

 

 

 

 

 

 

 

 

 

 

 

Proof of Age (Type of document):

 

Age:

Date of Birth:

 

Physician's certificate:

 

 

 

 

 

 

 

Submitted with

 

 

 

 

 

 

 

 

 

 

 

 

 

 

this application

 

 

 

 

 

 

 

 

Address of Student /Applicant:

 

 

 

 

 

 

 

Valid physician's certificate on file

School District:

 

Building:

 

 

 

 

 

 

 

 

Parent or Guardian:

Parent or Guardian Telephone Number:

Address of Parent or Guardian:

I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE ABOVE STATEMENTS ARE TRUE AND THAT THE MINOR

NAMED ABOVE WILL WORK WITH MY APPROVAL.

X

Signature of Parent or Guardian

Date Signed

THE NUMBER OF HOURS OR DAYS AND THE TIMES DISPLAYED BELOW OR ON THE FINAL PERMIT ARE FOR REGULATORY PURPOSES ONLY AND ARE NOT TO BE CONSTRUED IN

ANY WAY OR MANNER TO BE INDICATIVE OF A CONTRACT BETWEEN AN EMPLOYER AND THE EMPLOYEE.

I HEREBY CERTIFY THAT I HAVE EXAMINED AND APPROVED THE ABOVE NOTED DOCUMENTARY PROOF OF AGE.

X

Superintendent / Chief Adminstrative Officer / Designated Issuing Officer

Name of Office

Address of Office

PLEDGE OF EMPLOYER

-

Name of Firm:

Telephone Number at Minor's Work Location:

 

 

 

 

 

 

Address of Student /Applicant's Place of Employment, Job Site, or Work Location:

 

 

 

 

 

 

Specific Nature of Employment:

 

 

 

 

 

 

 

Employer's Tax ID Number (9 digits). THIS FIELD IS MANDATORY )~'

I

 

 

IF MINOR WORKS A VARIED OR

 

 

 

YES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IRREGULAR SCHEDULE ENTER

 

 

 

 

 

 

 

 

 

 

 

 

''REPRESENTATIVE" TIM~S IN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No. of Days Per Week: Hours Per Day: Starting Time:

Quitting Time:

ITEMS 1 THRU 4. ARE HOURS

 

 

 

 

TO BE WORKED WITHIN THE

 

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ILIMITS OF THE LAW?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

THE UNDERSIGNED HEREBY AGREES TO EMPLOY THE ABOVE NAMED CHILD IN ACCORDANCE WITH LAWS REGULATING THE EMPLOYMENT OF MINORS. THE EMPLOYER FURTHER AGREES TO GIVE MINOR A COPY OF THE WAGE AGREEMENT IN ACCORDANCE WITH SEC. 4109.42 ORC. THE EMPLOYMENT WILL BECOME EFFECTIVE AS SOON AS THE NECESSARY AGE AND SCHOOLING CERTIFICATE

IS VERIFIED BY THE EMPLOYER. THE EMPLOYER AGREES TO PERMIT THE CHILD TO ATTEND PART TIME SCHOOL WHEN SUCH IS AVAILABLE AND TO NOTIFY THE SCHOOL WITHIN FIVE DAYS AFTER THE EMPLOYMENT OF THE CHILD TERMINATES

PK

Signature of person authorized to sign for employer

Date signed

Telephone number

 

 

 

 

 

 

 

 

Address of employer if different from minor's place of employment

E-Mail address

 

LAWS COM 0000 (Repl.- Oho F.- 11 & 111)

(Optional- if employer wants notification in case of revocation)

PHYSICIAN'S CERTIFICATE FOR MINOR WORK PERMIT

3331 02 ORC

• 109.02ORC

APPLICANT INFORMATION

Name of Student I Applicant in full:

 

 

 

 

 

 

 

 

 

 

 

 

Sex:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Male

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of Birth:

Height:

 

 

Weight:

 

 

 

Color of Hair:

Color of Eyes:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ft.

in.

 

 

 

lbs.

 

 

 

 

 

 

 

 

Distinguishing Characteristics, if any:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Female

School District:

Building:

 

 

 

 

 

 

Parent or Guardian:

Parent or Guardian Telephone Number:

PHYSICIAN'S APPROVAL

 

 

 

 

 

 

 

 

 

 

I

 

I

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

THE UNDERSIGNED HEREBY CERTIFIES THAT THEY HAVE

NOTE: IF WORK SHOULD BE LIMITED TO A CERTAIN TYPE OF

 

THROUGHLY EXAMINED THE ABOVE NAMED APPLICANT WHO

EMPLOYMENT, THE PHYSICIAN MUST MARK THIS FORM

 

WAS BORN ON THE DATE STATED ABOVE AND WHO MEETS THE

ACCORDINGLY IN THE AREA BELOW.

 

 

 

DESCRIPTION GIVEN HEREON, AND THAY SAID PERSON;

 

 

 

 

 

 

 

 

IS

 

IS NOT

Limited Certificate:

 

YES

 

NO

 

 

 

 

 

 

 

IN THEIR OPINION PHYSICALLY FIT TO PERFORM THE WORK OF

 

 

 

 

 

 

ANY EMPLOYMENT NOT FORBIDDEN BY LAW TO A PERSON OF

If Marked YES;

 

 

 

 

 

THIS AGE AND SEX.

 

 

 

 

 

 

 

 

 

Employment should be Limited to Work Specified Below:

 

 

 

 

 

 

X

Physician's Signature

Date Signed

LAWS COM 0000 (Replaces OHIO FORM V)

Form Data

Fact Detail
Name and Sex Required The application requires the full name and sex of the student/applicant.
Age Verification Proof of age, such as a physician's certificate, must be submitted with the application.
Parent or Guardian Certification A parent or guardian must certify their approval for the minor's work by signing the application.
Governing Laws The form is governed by sections 3331.02 and 4109.02 of the Ohio Revised Code (ORC).
Employer's Pledge The employer agrees to comply with laws regulating the employment of minors and to provide a copy of the wage agreement.
Physician's Certificate Requirements A physician must certify that the minor is physically fit for employment, and if there are limitations, these must be specified on the form.

Instructions on Utilizing Work Permit

Once you've decided to apply for a minor work permit, the process involves filling out an application form with various sections regarding personal, educational, and employment details. This document is crucial for ensuring compliance with employment laws for minors and must be completed with accuracy and care. The steps outlined below will guide you through each section to ensure the application is filled out correctly. Once completed, an authorized school official or issuing officer will review the application along with the necessary proof of age and school attendance before the work permit can be issued.

  1. Begin by entering the Student / Applicant Information. This includes:
    • Name of Student / Applicant in full.
    • Select the sex of the student.
    • Enter the Grade Level of the student.
    • Provide Proof of Age by selecting the type of document being submitted and entering the Age along with the Date of Birth.
    • Check the box if a Physician's certificate is submitted with this application.
    • Write down the Address of Student / Applicant.
    • Enter the School District and Building information.
    • Provide the Name, Telephone Number, and Address of the Parent or Guardian.
    Sign and date the form by the Parent or Guardian indicating approval of the employment and accuracy of the information provided.
  2. Complete the section regarding the Pledge of Employer by including:
    • The Name of Firm.
    • Telephone Number at Minor's Work Location.
    • Address of Student / Applicant's Place of Employment, Job Site, or Work Location.
    • Describe the Specific Nature of Employment.
    • Enter the Employer's Tax ID Number (This field is mandatory).
    • If the minor works a varied or irregular schedule, enter "representative" times including No. of Days Per Week, Hours Per Day, Starting Time, and Quitting Time.
    • Indicate by checking YES or NO whether the hours to be worked are within the limits of the law.
    Ensure the Employer signs and dates the form, agreeing to employ the minor in compliance with the laws.
  3. If required, complete the Physician's Certificate for Minor Work Permit section, which includes:
    • The same student / applicant full name, sex, and date of birth as the first section.
    • Physical characteristics like Height, Weight, Color of Hair, and Color of Eyes.
    • Distinguishing Characteristics, if any.
    • The physician must certify whether the minor is physically fit for employment, not forbidden by law to a person of this age and sex.
    • If employment should be limited to a certain type of job, the physician must specify this on the form.
    The Physician's signature and date are necessary to validate this section.

After filling out all the required sections of the form carefully, review the information for accuracy before submission. The next step involves the submission of the completed form along with any required documentation for age and schooling verification. Once verified, the minor will receive their work permit, allowing them to commence employment under the stipulated conditions.

Obtain Answers on Work Permit

  1. What is the purpose of the Work Permit form?

    The Work Permit form serves as a legal document to ensure that minors are employed in accordance with labor laws that protect their health, well-being, and educational opportunities. It verifies the minor's age, the consent of a parent or guardian, the approval by a physician, and the compliance with regulated work hours and conditions.

  2. Who needs to fill out the Work Permit form?

    The form requires input from several parties: the minor seeking employment, their parent or guardian, a physician, and the potential employer. Each has a section to complete, certifying various requirements are met, from health suitability to consent and legal employment practices.

  3. What documents are needed to complete the Work Permit form?

    • A proof of age document for the student/applicant.
    • A valid physician's certificate, indicating the minor is fit for employment.
    • The signature of the parent or guardian, indicating their consent.
    • Employer details, including job specifics and agreement to adhere to legal working hours and conditions for minors.
  4. How does a minor get a physician's certificate for the Work Permit?

    The minor must undergo a physical examination by a licensed physician, who will then complete the relevant section of the Work Permit form. This certificate verifies that the minor is physically capable of performing the job in question, considering any legal limitations related to their age and health. If certain types of employment are deemed inappropriate, the physician must specify this on the form.

  5. What happens after the Work Permit form is submitted?

    Once the form is fully completed and submitted, the employer is responsible for verifying the age and schooling certificate of the minor. Employment can begin under the agreed conditions. The employer must comply with regulations, including allowing part-time school attendance when available and notifying the school if employment terminates. This ensures that the minor's work does not interfere with their education and well-being.

Common mistakes

    There are several common mistakes that individuals make when completing the Work Permit form, which can cause delays or issues with their application. Understanding these errors can help in submitting a correctly filled-out form.

  1. Incorrect or incomplete student/applicant information: Many applicants may rush through filling in their personal details and end up making mistakes or leaving fields blank. It's crucial for accuracy that the full name of the student/applicant, sex, grade level, and date of birth are filled in exactly as they appear on legal documents to ensure there's no confusion or mismatch.

  2. Failure to provide valid proof of age: A common oversight is not submitting or incorrectly identifying the type of document used as proof of age. Acceptable documents usually include a birth certificate, passport, or state ID. Ensuring that the correct document type is mentioned and attached is vital for the application.

  3. Not securing the physician's certificate: Many applicants forget to attach the physician's certificate or do not complete it properly. This certificate is essential as it confirms the applicant's physical fitness for work. All fields, including whether the employment should be limited to certain types of work, must be properly filled out and signed by the physician.

  4. Miscommunication between the employer and the applicant regarding job details: Often, there can be a misunderstanding or lack of clarity about the specific nature of employment, hours per day, days per week, and the start and quitting times. It's important that both parties communicate clearly to fill in this section accurately, ensuring that it complies with laws regulating the employment of minors.

Being meticulous in filling out the work permit form, double-checking all the sections, and ensuring that all attachments are correct and valid can significantly streamline the approval process.

Documents used along the form

When navigating through various employment and work authorization processes, particularly for minors, the Work Permit form is of crucial importance. However, it's seldom the sole document required. There are several key forms and supporting documents that often accompany a Work Permit application to ensure compliance, accuracy, and the safeguarding of the applicant's rights and well-being. Below is an overview of some of these critical documents.

  • Birth Certificate - Often used as a primary document to provide definitive proof of age. Age verification is vital to ensure compliance with labor laws regarding minors.
  • Passport - Can serve as a substitute for a birth certificate. Apart from age verification, a passport might also be required for identity confirmation or if the minor is not a U.S. citizen.
  • Social Security Card - Necessary for the employer to report wages for tax purposes. It's also essential for the verification of the minor's legal eligibility to work in the U.S.
  • Proof of School Attendance - Demonstrates that the minor is enrolled in school, which is often a requirement under state labor laws for minors of a certain age.
  • Parental Consent Form - A signed statement from a parent or guardian giving permission for the minor to work, endorsing the employment arrangement.
  • Physician’s Certificate - Required in some jurisdictions or at the discretion of the employer, this certifies that the minor is physically capable of performing the job without risking their health.
  • Report Card or Academic Transcript - May be requested to prove the student's current grade level, ensuring the employment does not interfere with educational obligations.

Collectively, these documents facilitate a smooth application process, ensuring all legal requirements are satisfied and the interests of the minor are fully protected. It's essential for guardians, students, and employers to be aware of these requirements and to prepare accordingly. When it comes to employing minors, the priority is always their safety, education, and overall well-being, as reflected in the careful documentation required for a Work Permit.

Similar forms

  • The Passport Application Form is similar to the Work Permit Form because it also collects comprehensive personal information, including full name, date of birth, and physical characteristics, such as height and color of eyes. Both require a form of official approval or certification – for the Work Permit, it's the parent, guardian, or physician's certification, while for the Passport, it's governmental authorization.

  • The Driver's License Application resembles the Work Permit Form by asking for personal details and proof of eligibility. Just as a Work Permit requires proof of age and a physician's certificate, a Driver's License Application often requires proof of identity, residency, and a passed written and/or driving test.

  • Social Security Card Application shares similarities in terms of gathering identifiable information, including full name, age, and parental information, much like the Work Permit Form. Both are essential for employment purposes in the United States and require verification of personal details.

  • The School Enrollment Application is akin to the Work Permit Form as it collects detailed information about the student, including their name, age, grade level, and parent or guardian contact details. Both forms serve as official records and require guardian approval for minors.

  • College Application Forms can be compared with the Work Permit Form because they compile extensive personal and educational information from applicants. They also occasionally require health certifications or immunization records, echoing the physician’s certificate requirement for the Work Permit.

  • The Voter Registration Form parallels the Work Permit Form in its collection of personal identity information and residency details. Both are gateways to exercising certain rights or privileges within the United States, be it employment for minors or participation in democratic processes.

  • Loan Application Forms, similar to the Work Permit Form, require thorough personal information, proof of eligibility, and sometimes a guarantor or co-signer’s details, akin to the parent or guardian's certification on the Work Permit Form. These forms assess eligibility for financial services.

  • Medical Consent Forms for minors mirror the physician's certificate and parent or guardian's consent sections of the Work Permit Form. Both involve guardians in decisions affecting the minor's health or employment and require official consent.

  • The Internship Application Forms collect detailed personal, educational, and sometimes, health information, resembling the Work Permit Form. Both facilitate access to opportunities for minors or students and often require parental or guardian consent.

Dos and Don'ts

When filling out the Work Permit form, it's important to pay close attention to detail and provide accurate information. Below is a list of things you should and shouldn't do to ensure the process goes smoothly.

  • Do thoroughly review the entire form before starting to fill it out. This will help you understand what information is required and ensure you have all the necessary documents.
  • Don't leave any fields blank. If a section does not apply to you, write “N/A” (not applicable) instead of leaving it empty. This shows that you did not overlook the section.
  • Do ensure that the student/applicant and the parent or guardian sign the form where required. These signatures are essential for the form to be processed.
  • Don't guess the answers to any questions. If you are unsure about what to provide for a particular field, it's better to seek clarification than to risk submitting incorrect information.
  • Do provide a valid physician's certificate, if required. The health and safety of the minor are of utmost importance, and this document is a crucial part of the application.
  • Don't forget to include the employer's information accurately, including the tax ID number. This information is mandatory and must be correct for the permit to be valid.
  • Do check the laws regulating the employment of minors in your area to ensure that the work hours and conditions specified in the form are legal.
  • Don't use pencil or erasable ink. All information should be filled out in permanent ink to ensure that the form remains legible and official.

By following these dos and don'ts, you can help ensure that your Work Permit application is complete and accurate, reducing the risk of delays or issues in obtaining approval for the minor's employment.

Misconceptions

Understanding the Work Permit process for minors can seem straightforward, but there are several misconceptions that can confuse both applicants and their guardians. Here’s a look at eight common misunderstandings:

  • It’s Just for Older Teens: Many believe work permits are only for those 16 and older, but younger minors can also apply for certain jobs.
  • Any Doctor’s Note Will Suffice: Not all doctor's notes are equal. The form requires a specific physician’s certificate that addresses the minor’s ability to perform the work safely.
  • School Officials Aren’t Involved: Actually, school officials play a critical role. They must examine and approve the proof of age and sometimes may even issue the work permit.
  • Hours Are Flexible: While some flexibility exists, the law sets strict limits on the number of hours and the times minors can work, especially during school days.
  • No Need for Parental Consent: Parental or guardian approval is a must-have, as indicated by the required signature on the form.
  • Work Permits Aren’t Specific: Each work permit is job-specific. If a minor changes jobs, a new application must be submitted.
  • Permanence of the Permit: Work permits are not permanent. They must be renewed or altered if the minor’s work situation changes, including the end of the employment.
  • All Jobs Are Permitted: There are clear restrictions on the types of employment minors can undertake, emphasizing safety and legality.

Dispelling these misconceptions fosters a better understanding of the application process for minor work permits. It ensures compliance with regulations and safeguards minors entering the workforce.

Key takeaways

Filling out and utilizing the Work Permit form is a critical process for regulating the employment of minors in the United States. It ensures compliance with labor laws and protects the rights and well-being of young workers. Here are key takeaways to understand this important document:

  • Before starting the application, ensure you have all the necessary information regarding the student or applicant, including full name, age, date of birth, grade level, and sex.
  • Proof of the applicant's age, such as a birth certificate or other valid document, is required to process the Work Permit. This ensures compliance with age-related employment laws.
  • A valid physician’s certificate is essential and must be submitted with the application. This certificate verifies that the minor is physically fit for the employment they seek, safeguarding their health and safety.
  • The parent's or guardian's signature on the application signifies their consent for the minor’s employment. This is crucial for the legal and ethical aspects of hiring minors.
  • The section regarding the hours and days of work makes it clear that the details provided are for regulatory purposes only and do not indicate an employment contract. This distinction helps to clarify the nature of the permission being granted.
  • The employer must pledge to employ the minor according to the laws regulating the employment of minors. This commitment ensures that minor workers are treated fairly and legally in their workplace.
  • It is mandatory for employers to provide the minor with a copy of the wage agreement, as per specific legal requirements. This transparency in compensation is critical for fair labor practices.
  • The necessity for employers to allow minor workers to attend part-time school when available emphasizes the importance of balancing work and education for minors.
  • Employers must notify the school within five days after the employment of the child terminates. This regulation ensures that educational authorities are kept informed about the employment status of their students.

By adhering to these guidelines and processing the Work Permit form diligently, employers, parents, and guardians can ensure that minors are engaging in work experiences that are both legally compliant and conducive to their overall development.

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