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Click ‘Get Form’ to open the employer intent employ document in the editor.
Begin by entering the Co./Corporate Name and Trading As Name if applicable. Ensure clarity for easy identification.
Fill in the Child’s Name, including First and Last names, followed by their Address, City, State, and Zip Code.
Provide the Child’s Date of Birth by selecting Day, Month, Year, and indicate their Sex by circling F or M.
Specify the Type of Business and Job Description. Include specific duties expected from the child.
Indicate if the child is a Lifeguard aged 15 years old and whether they possess a Lifeguard Certificate. Attach copies as required.
Complete sections for Company Mailing Address and Site Address where the child will work if different.
Fill in contact details for the Hiring Agent including their First Name, Phone Number, and Email.
Lastly, provide information on the number of employees at this location categorized by age groups.

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virginia title

STATEMENT of INTENT to EMPLOY a minor and REQUEST FOR work permit Employer intent to employ form B1-4 work permit Permit to Employ and work CDE Form B1-1 Permit to employ minors Letter of intent for work permit California Permit to Employ Minors