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Click ‘Get Form’ to open the Application for Employment Certificate in the editor.
Begin with Part I – Parental Consent. Enter the date, applicant's name, age, and full home address. Ensure that a parent or guardian signs this section.
Move to Part II – Evidence of Age. Select the appropriate evidence of age from the options provided and enter any required document numbers.
In Part III – Certificate of Physical Fitness, input the date of the physical exam and ensure documentation is attached if necessary.
Complete Part IV – Pledge of Employment by filling in details about the prospective employer and job description. The employer must sign this section.
For minors leaving school, fill out Part V – Schooling Record with information from a school official, including certification of grade level.
Finally, complete Part VI – Employment Certification by entering certificate number and signature from an issuing official.
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Applicant shall present documentation of physical exam from a school or private physician, physician s assistant or nurse practitioner authorized to practiceRead more
APPLICABILITY FOR WORK PERMIT/CERTIFICATE TO OPERATE: required to file for work permit/certificate. Applications must be filed / signed by the owner of the
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