Get A Statement Of Intent To Employ A Minor And Request For Work Permitcertificate Of Age

Completing the A statement of intent to employ a minor and request for work permit certificate of age is an essential step for employers wishing to hire minors in California. This guide provides clear instructions to help you successfully navigate the online form.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to access the form and open it in the editor.
2. Begin with the minor’s information section. Provide the minor's name, birth date, home phone, social security number, home address, grade, age, city, and zip code.
3. Next, fill in the school information. Input the school’s name, school phone number, school address, city, and zip code.
4. Proceed to the employer section. Enter the business name or agency of placement, business phone number, business address, supervisor's name, city, and zip code.
5. In the nature of work section, describe the specific job duties the minor will be performing.
6. Ensure compliance by noting that this employee is covered by worker’s compensation insurance and that the employer does not discriminate unlawfully.
7. The employer must then print their name, sign, and date the form to certify accuracy.
8. The parent or legal guardian must provide their name, sign, and date the form to indicate their consent for the minor’s employment.
9. In the authorized work permit issuer section, fill out the maximum number of hours of employment when school is in session for each day of the week.
10. Select the permit type and provide proof of the minor's age in the specified section.
11. Finally, gather all completed sections of the form, and save your changes. You can choose to download, print, or share the form as needed.

Complete your documents online today for a smooth and efficient process.