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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

 

Type or print and make sure it is legible.

 

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 on-line application:

 

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 on-line Application Receipt and your Proof of Age to any Issuing Officer and

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

State

 

Street Address

 

City

 

County

The

Zip Code

 

To

Telephone

Telephone Extension

 

 

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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