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Get NC Youth Employment Certificate 2003

Y State Zip Code Job Description: (Please be as complete as possible) Company Name: Type of Business: *ABC ON-PREMISES PERMIT? Yes NO Zip Code Area Code Complete Mailing Address: City: State: ( Phone ) The undersigned individuals certify that the above information is correct; the youth will not be employed in a hazardous, prohibited, or detrimental occupation; will only be employed during legal hours; and, will be employed only in a permitted occupation. Employer's Signature: Pare.

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