Whd 9405-2026

1. Click ‘Get Form’ to open the whd 9405 in the editor.
2. Begin by entering the business name and telephone number in the designated fields.
3. Next, input the corporate name and mailing address of your business.
4. Provide the address where the minor will be working during the deviated hours.
5. In the detailed description section, clearly outline the duties that will be performed by the minor.
6. Specify the deviated hours requested for the minor, ensuring compliance with state regulations.
7. Have the employer or representative sign and enter their title, along with their printed name and date of application signed.
8. Complete the employee information section by entering the minor’s first and last name, date of birth, and last four digits of their social security number.
9. Ensure that a school representative completes or attaches a copy of the work permit in the Statement of School Attendance section.
10. Finally, obtain permission from a parent or legal guardian by having them complete their section with signature and contact information.

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