Printable Workers Permit Maryland Template
The Workers Permit Maryland form serves as a crucial document for minors seeking employment in the state. Designed to ensure compliance with labor laws, this form requires several key steps to be completed by both the minor and their employer. Initially, the minor must fill out their personal information, including their legal name, address, and date of birth. Following this, the employer is tasked with completing their section, which includes details about the company and the type of work the minor will be performing. Importantly, a parent or guardian must also sign the application, providing consent for the minor’s employment. To validate the minor’s age, acceptable proof can include a birth certificate or school records. Once the application is completed, the minor needs to present it, along with proof of age, to an Issuing Officer to obtain the official Maryland Minor Work Permit. This permit is not only essential for legal employment but also must be renewed for each new job, ensuring that minors are protected under state labor regulations until they reach 18 years of age. Understanding these requirements is vital for both minors and employers to navigate the employment process smoothly.
Workers Permit Maryland Preview
STATE OF MARYLAND
DEPARTMENT OF LABOR, LICENSING & REGULATION DIVISION OF LABOR & INDUSTRY
1100 N EUTAW STREET - BALTIMORE - MARYLAND - 21201
APPLICATION FOR
WORK PERMIT FOR A MINOR
1. Complete your section of the this application. |
To The Minor
First Name
Last Name
Street Address
City
County
State
Zip Code
Home Telephone
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Type or print and make sure it is legible. |
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Use your correct legal name. |
2. |
Have the Employer complete the Employer section. |
3. |
Have your parent or guardian sign this application. |
4. |
Use the data to complete the |
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www.dllr.state.md.us/labor/empm.shtml |
For Proof of Age, You may use:
Birth Certificate
School Records
Valid Maryland Driver's License
Any official Government document
5. Take this Application, the
Date Of Birth |
Month |
Day
Year
School Name
request a Maryland Minor Work Permit.
6.Deliver the official Work Permit to your employer.
* A new permit must be obtained for each job *
1.Complete your section of this application and return it to the minor for validation.
2.Do not allow minor to work until the official work permit is in your possession. 3.Work permits are not transferable and are required until the minor's 18th birthday.
Employer |
Company Name |
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State |
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Street Address |
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City |
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County |
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The |
Zip Code |
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To |
Telephone |
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Telephone Extension |
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Employer Rep Name |
Employer Rep Signature
Work Duties
XSelect - Type of Business
Accommodation & Food Services
Administrative & Waste Services
Agriculture, Forestry, Fishing & Hunting
Arts, Entertainment & Recreation
Construction
Educational Services
Finance & Insurance
Health Care & Social Assistance
Information
Management of Companies & Enterprises
Manufacturing
Mining
Other Services except Public Administration
Professional & Technical Services
Public Administration
Real Estate & Renting & Leasing
Retail Trade
Transportation and Warehousing
Unknown
Utilities
Wholesale Trade
To The
Parent or Guardian
This minor is being employed at the place of work described above with my full knowledge and consent. I hereby certify that, to the best of my knowledge, the information herein is correct and true. I request that a work permit be issued for the above named minor.
Signature of Parent or Guardian |
Date |
To The
Issuing
Officer
1. Verify the minor has signed and dated the correct and true statement below.
I hereby certify that, to the best of my knowledge, the information herein is correct and true.
Signature of Minor |
Date |
2.Do not accept an incomplete application.
3.The Division of Labor and Industry requires you retain this application in your file for 2 years from date of issuance.
Control Number
Date of Issue
Form Attributes
| Fact Name | Description |
|---|---|
| Governing Law | The Maryland Workers Permit for minors is governed by Maryland Labor and Employment Code, Title 3, Subtitle 2. |
| Eligibility | Minors aged 14 to 17 must obtain a work permit before starting employment in Maryland. |
| Application Process | The application requires completion by the minor, employer, and a parent or guardian. |
| Proof of Age | Acceptable documents for proof of age include a birth certificate, school records, or a valid Maryland driver’s license. |
| Issuing Officer | Minors must present their completed application and proof of age to an Issuing Officer to obtain the work permit. |
| Job-Specific Permits | A new work permit is required for each job a minor takes, ensuring compliance with labor laws. |
| Retention Requirement | Employers must retain the application for two years from the date of issuance, as mandated by the Division of Labor and Industry. |
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