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APPLICATION FOR WORK PERMIT Date of application Certificate/Permit number Date issued PDE?4565 (1/13) A. To be completed by issuing officer Name of minor Sex Color of hair Color of eyes Any physical.

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How to fill out the Form Pde 4565 1 13 online

Filling out the Form Pde 4565 1 13 online can streamline the application process for obtaining a work permit. This guide provides detailed, step-by-step instructions, ensuring that users understand how to complete each section of the form with clarity and ease.

Follow the steps to successfully complete the form online.

  1. Press the ‘Get Form’ button to acquire the form and access it in the online editor.
  2. Begin by entering the date of application in the specified field. Ensure that the date is formatted correctly.
  3. Input the certificate or permit number in the designated section for identification purposes.
  4. Record the date issued in the appropriate field, using the correct format.
  5. In section A, complete the information for the issuing officer. Start with the name of the minor, followed by their sex, color of hair, and color of eyes.
  6. Indicate any physical work restrictions if applicable, and include the name and address of the school district.
  7. Provide the place of residence and place of birth, followed by the date of birth. Ensure to include the month, day, and year.
  8. Complete the signature field for the issuing officer at the end of this section.
  9. For the evidence of age, select the appropriate documentation you are submitting. Only cross out the forms that do not apply to your situation.
  10. In section B, the parent, guardian, or legal custodian must sign the application. Ensure to enter their name and address.
  11. If the minor is a high school graduate, attach the proof of graduation as requested.
  12. If unable to provide a signature, complete a statement before a notary public and attach it to your application.
  13. Once all sections are completed, save the changes made to the form, then download, print, or share the document as needed.

Begin completing your documents online today for an efficient submission process.

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Minors who reside in Pennsylvania and plan to work in Pennsylvania will apply for a work permit from the school district in which they reside, regardless of whether the minor is enrolled in the school district, attends a charter school or non-public/private school, or participates in a home education program.

Children under 18 years old (minors) who work in New Jersey must have an employment certificate — also called “working papers.” Your son or daughter can get blank working papers (form A300) online at nj.gov/labor (see back cover for instructions) or from their local school district.

One of the following documents must be provided: NOTES: • Transcript of birth (birth certificate) • Baptismal certificate • Passport • Other documentary evidence (must include birth date) • Affidavit of parent or guardian accompanied by a physician's statement of opinion as to the age of the minor.

Call your local school district to determine the exact location of the individual who issues work permits. Minors who have official proof of graduation from high school can obtain a work permit from the local school district where the employer is located.

Therefore, the minor should obtain an application for a work permit at his/her local school district. The parent or legal guardian must sign the application. If the minor resides in Pennsylvania, but will be working in another state, he/she must receive a work permit from the state where the minor will be working.

Minors who reside in Pennsylvania and plan to work in Pennsylvania will apply for a work permit from the school district in which they reside, regardless of whether the minor is enrolled in the school district, attends a charter school or non-public/private school, or participates in a home education program.

The Pennsylvania Child Labor Act requires all minors ages 14 - 17 to have a work permit in order to be employed. For individuals who are under 16 years of age, a written statement by the minor's parent or legal guardian is also required.

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