The following is a sample employment certificate. It contains the information that will need to be submitted in order for a minor to obtain working papers. Working papers can be obtained from either your local high school or the Department of Labor, depending on where you live.
Sample Employment Certificate (Working Papers) For Minors
_____ Employment During School Year
_____ Employment During School Vacations
This certificate authorizes the employment of
__________________________________________________ (Name of Minor)
____________________________________ (Address of Minor)
Minor’s Age _____ Date of Birth _________________
Date of Issue _____________
Date of expiration _____________
Proof of age accepted ______________________________________ (specify proof of age)
Certificate of physical fitness accepted____________________
Grade Completed_____________ (Specify)
Place of Birth _____________________________________________
Color of Hair _______________ Color of Eyes ________________
Height _____ feet _____inches
Weight ______ pounds
Name of Parent(s) ___________________________________
Telephone Number ____________________________________
Signature of Minor ______________________________________
Issuing Office
Issuing Officer's Signature______________________Title________________________
Telephone Number__________________
Name of School__________________________________________________
Address of School_______________________________________________
City/State/Zip__________________________________________________
Certificate is valid for one year.
Note: Federal Hour Restrictions
- Not more than 3 Hours on a School Day
- Not more than 18 Hours in a School Week
- Not More than 8 Hours on a Nonschool Day
- Not more than 40 Hours in a Nonschool Week
- Not Before 7 a.m. nor After 7 p.m. (9 p.m. from June 1st through Labor Day)
