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ELIGIBILITY TO WORK FOR STUDENTS AGE 14 15 This certificate is to notify all parties concerned that Name of Student who attends is hereby certified Name of School/City Eligible to Work by having satisfactory grades and attendance. Student will be employed by Name of Employer located at Alabama. Street Address City Date Signature of School Official For Further Information contact State of Alabama Department of Labor Child Labor Division 100 North Union Street Ste 620 Montgomery AL 36109-3500 334 353-1761 www. labor. alabama.gov This form may be reproduced by authorized personnel in public or private school systems. ELIGIBILITY TO WORK FOR STUDENTS AGE 14 15 This certificate is to notify all parties concerned that Name of Student who attends is hereby certified Name of School/City Eligible to Work by having satisfactory grades and attendance. Student will be employed by Name of Employer located at Alabama* Street Address City Date Signature of School Official For Further Information contact State of Alabama Department of Labor Child Labor Division 100 North Union Street Ste 620 Montgomery AL 36109-3500 334 353-1761 www. labor. alabama*gov This form may be reproduced by authorized personnel in public or private school systems. ELIGIBILITY TO WORK FOR STUDENTS AGE 14 15 This certificate is to notify all parties concerned that Name of Student who attends is hereby certified Name of School/City Eligible to Work by having satisfactory grades and attendance. Student will be employed by Name of Employer located at Alabama* Street Address City Date Signature of School Official For Further Information contact State of Alabama Department of Labor Child Labor Division 100 North Union Street Ste 620 Montgomery AL 36109-3500 334 353-1761 www. Student will be employed by Name of Employer located at Alabama* Street Address City Date Signature of School Official For Further Information contact State of Alabama Department of Labor Child Labor Division 100 North Union Street Ste 620 Montgomery AL 36109-3500 334 353-1761 www. labor. alabama*gov This form may be reproduced by authorized personnel in public or private school systems. .

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