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The "Parent Guardian Statement of Consent I Certify that I am" form in the labor context of New York State is a legal document primarily used to authorize the employment of minors, specifically those aged 16 or 17. This consent form is required by the New York State Department of Labor to ensure that both the parents or guardians of the minor and the prospective employer are aware of and consent to the employment conditions. This certification not only confirms the identity and relationship of the person providing consent but also outlines the agreed terms of employment in compliance with state labor laws.
To use the Parent Guardian Statement of Consent effectively, parents or guardians must first thoroughly read the form to understand the specific commitments and responsibilities. The form should be filled out with accurate information regarding the minor’s personal data, such as name, age, and employment details. Ensure that all parts of the form are completed legibly. Both the guardian’s signature and that of the employer are required. Finally, submit the completed form to the appropriate division of the employer or as instructed by the New York State Department of Labor. Retain a copy for personal records.
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In New York, specific rules govern the employment of minors. These include limitations on working hours, types of work that can be performed, and ensured compliance with school attendance requirements. Minors cannot work more than four hours on a school day, and certain hazardous occupations are prohibited. Compliance with these rules is crucial to prevent any legal repercussions for both employers and parents/guardians.
This document serves legally binding purposes, ensuring both the minor’s protection and the employer’s adherence to labor regulations. It must be completed in good faith, reflecting honest intentions to engage a minor in employment. Any deliberate misinformation can lead to legal penalties.
The primary users of this form include parents or legal guardians of minors aged 16 or 17 seeking employment, employers intending to hire minors, and schools or educational institutions acting on behalf of students engaged in work-study programs. Additionally, labor inspectors and state officials may reference it for compliance checks.


Completing this certification is crucial to legally employ a minor, ensuring their protection under the labor laws while facilitating gainful employment opportunities. It provides a structured approach to verifying parental consent and safeguarding the rights of young workers.
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Additionally, in 11 states, youth may not be interviewed without prior consent of an adult guardian. The balance of the states, may labor laws.
Parent/Guardian Statement of Consent | Department of Labor nygov-logo. An official website of New York State. How to File an Unemployment Insurance Claim
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