Get Ny At-17 2021-2025

Filling out the NY AT-17 form is a necessary step for minors seeking employment certification in New York State. This guide provides a clear, step-by-step instruction on how to complete the form online, ensuring a smooth application process.

Follow the steps to successfully complete the NY AT-17 application.

1. Press the ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with Part I – Parental Consent. The applicant, along with a parent or guardian, should fill in their name, age, and full home address. They will need to indicate the type of employment certificate being applied for by checking the relevant box.
3. Ensure that the parent or guardian signs the application in the required section to provide consent for the minor’s employment certification.
4. Proceed to Part II – Evidence of Age. This section must be completed by the issuing official. Choose the document that verifies the applicant's age from the provided list, and write down any document number if applicable.
5. In Part III – Certificate of Physical Fitness, ensure the applicant presents documentation of a physical examination conducted within the past 12 months. Provide the date of the physical exam on file with the school.
6. If relevant, fill out Part IV – Pledge of Employment. This section requires the prospective employer to confirm employment, providing details such as the job description, location, and contact information of the firm.
7. If applicable, complete Part V – Schooling Record. A school official must certify the records, stating the applicant's grade and full name, along with the school's name and address.
8. Finally, Part VI – Employment Certification needs to be filled by the issuing official, including the certificate number, date issued, and the signature of the issuing officer.
9. Once all parts have been completed, save changes, download, print, or share the form as required.

Start the process of completing your employment certificate online today!