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For Issuance of EMPLOYMENT CERTIFICATE (WORK PERMIT) - roe54 k12 il 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the student information. Fill in the name, date of birth, address, and social security number in the designated fields.
- Next, provide the school name where the student is enrolled.
- In the Parent/Guardian Statement section, ensure that a parent or guardian reads and agrees to the rules set by the Illinois Department of Labor. They must sign and date this section.
- For the Employer’s Statement of Intent to Employ, input the company name, address, telephone number, type of business, job title, and description of duties for the student.
- Specify how many school days and non-school days per week the student will work along with hours per day. Ensure compliance with working hour regulations.
- Complete the Statement of Physical Health by having a health official certify that a physical examination has been completed within the past year. The official must sign and date this section.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2008 | 4 Satisfied (54 Votes) |
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