New York State Department of Labor Division of Labor Standards Permit and Certificate Unit State Office Campus Building 12, Room 266B Albany, NY 12240 Child Performer Health Form Parent/Guardian:.

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How to fill out the Child Performer Health Form online

The Child Performer Health Form is an essential document to verify that a child is physically fit for employment in the performing arts. This guide provides comprehensive instructions to help you complete the form accurately and efficiently online.

Follow the steps to fill out the Child Performer Health Form properly

  1. Click ‘Get Form’ button to obtain the document and open it for editing.
  2. Enter the child's full name in the designated field labeled 'Child Performer Name'. Ensure that the name matches official identification documents.
  3. For the practitioner certification section, select option A or B to indicate the child’s physical capability for employment as a performer. If choosing B, clearly outline any limitations related to employment without including confidential information.
  4. Fill in the date of examination in the provided space. This date must be within the last 12 months to be valid.
  5. Provide the name and title of the examining practitioner. This should be the individual who completed the evaluation.
  6. Fill in the office address of the practitioner’s practice. Include any relevant details to ensure clear identification of the location.
  7. Enter the office phone number in the specified field to allow for any necessary follow-up communications.
  8. Have the practitioner sign the form, indicating their approval of the examination results. Ensure that this is completed before submitting the form.
  9. Finally, record the date the form was signed in the designated area. This adds an official timestamp to the document.
  10. Once all fields are filled out, review your entries for accuracy. Save your changes, and download or print the form as needed. You may also share the completed document with relevant parties.

Complete your Child Performer Health Form online today to ensure timely processing of employment permits.

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How long does it take to get a work permit in New York?

* The permits are approved after families upload certain specific documents to the Department's new online application portal. *Families still have the option to submit their applications by mail. However, mailed applications can take up to 3 weeks (or more) to process.

Who must have a Child Performer Permit? Any person under the age of 18 who renders creative or artistic services in New York State as a performer or any New York resident under the age of 18 who renders creative or artistic services anywhere outside New York State.

Minors under 18 may not work more than 8 hours a day, 6 days a week. Minors 14 and 15 may not work more than 40 hours a week. 16 and 17 year-olds may not work more than 48 hours a week.

Get a copy of the Application for a Child Performer Permit LS-561. Once you complete the application, mail it to the address on the form along with the needed documentation. If the child has never obtained a NYS Child Performer Permit before, you can obtain a one-time only, 15-day permit online.

An Employment Certificate (Working Paper) is required for all minors under 18 years of age who are employed. There are numerous prohibited occupations or minors in New York State. Contact any of the offices listed below for further information.

107.1 Regulations on Employment of Minors 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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