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Example - Alaska Work Permit Form
ALASKA DEPARTMENT OF LABOR AND WORKFORCE DEVELOPMENT
INDIVIDUAL WORK PERMIT APPROVED
APPROVED AS AMENDED:
__________________________________________________
__________________________________________________
__________________________________________________
DENIED
By: _________________________________________
Date: ____________________
INDIVIDUAL WORK PERMIT:
1.Employer completes and signs SECTION A.
2.Parent or guardian completes and signs SECTION B.
3.Employer verifies minor’s age, agrees to keep a copyof the proof of age on file at the employer’s premises and submits work permit.
4.When the approved work permit is returned, the minor may begin work.
GENERAL DUTIES WORK PERMIT
APPROVED FOR:
16 & 17 YEAR OLD MINORS; OR 
14 – 17 YEAR OLD MINORS
By: ________________________________________
Date: _________________
GENERAL DUTIES WORK PERMIT:
1.Employer completes and signs SECTION A.
2.Employer submits work permit to Wage and Hour office.
3.The approved duties are returned to the employer.
4.Employer obtains the signature of the minor’s parent or guardian in SECTION B, verifies minor’s age and agrees to keep a copyof the proof of age on file at the employer’s premises. The minor may then begin work.
5.Employer must return a copy of the work permit signed by the parent or legal guardian within seven (7) calendar days of minor beginning to work.
Section (A) to be completed by EMPLOYER
Name of Employer:
Employer Fax Number:
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DBA/ |
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Employer Phone Number: |
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Employer Local Mailing Address: |
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City: |
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Zip: |
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Location of Employment (Physical Address): |
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City: |
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Zip: |
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Duties to be performed by minor: |
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Tools, Equipment or Machinery to be used by minor: |
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Hourly Rate: |
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Pay Periods: |
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Will the minor be working at an establishment that serves alcohol? |
YES |
NO |
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RDP number: |
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If yes, is there a valid Restaurant Designation Permit (RDP) filed with the Alcoholic Beverage Control Board? |
YES |
NO |
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√ SEE REVERSE SIDE - FEDERAL LIMITATIONS MAY BE MORE STRICT.
HOURS OF WORK FOR YOUTHS AGES 14 AND 15 YEARS WILL BE RESTRICTED AS INDICATED BELOW:
When school is in session, hours will be limited to a combined total of nine hours of school attendance plus employment in any one day; work will be performed only between the hours of 5 a.m. and 9 p.m. Total hours worked in one week will be limited to 23 hours.
During school vacations, work hours will be limited to a maximum of 8 hours per day and a maximum of 40 hours per week; work will be performed only between the hours of 5 a.m. and 9 p.m.
Alaska law (AS 23.10.350 (c)) states that a minor under 18 years of age:
(i) May not be employed or allowed to work more than six days a week;
(ii) Who works for five (5) consecutive hours without a documented, 30 consecutive minute break is to have a documented break of at least 30 consecutive minutes before continuing to work.
I affirm and agree that such working conditions will be maintained and that all changes shall have the prior approval of the Commissioner of Labor and Workforce Development. I also affirm that I have verified and will keep on file valid proof of age of this minor employee at the employment premises.
___________________________________________________________ |
____________________________________________ |
________________ |
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Printed Name of Employer or Agent Acting for Employer |
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Signature |
Date |
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Section (B) to be completed by PARENT or GUARDIAN prior to employment of minor |
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Name of Minor (Print): |
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Address: |
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Date of Birth: |
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I affirm that I am the |
parent/stepparent or the |
legal guardian of the |
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authorized by the Alaska child labor laws, Alaska Statutes |
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___________________________________________________________ |
_________________________ |
________________ |
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Signature (Legal guardian must attach documentation) |
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Telephone Number |
Date |
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NOTICE: All information requested is required to process this work permit. Records of the Department are public records and may be subject to inspection and copying under AS
MAY2012 WPFRONT
Labor Standards and Safety Division |
Labor Standards and Safety Division |
Labor Standards and Safety Division |
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Alaska Department of Labor and |
Alaska Department of Labor and |
Alaska Department of Labor and |
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Workforce Development |
Workforce Development |
Workforce Development |
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1111 West Eighth Street, Suite 302 |
1251 Muldoon Road, Suite 113 |
675 7th Avenue, Station |
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Juneau, Alaska |
Anchorage, Alaska 99504 |
Fairbanks, AK 99701 |
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Phone: |
Phone: |
Phone: |
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FAX: |
FAX: |
FAX: |
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EMPLOYERS PLEASE NOTE: |
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OCCUPATIONS PROHIBITED TO ALL MINORS UNDER 18:
1.Occupations in manufacturing, handling, or use of explosives.
2.Occupations of motor vehicle driver or helper (limited exceptions.)
3.Mining operations including coal.
4.Logging or occupations in the operations of any sawmill, lath mill, shingle mill or cooperage.
5.Operations of
6.Occupations with exposure to radioactive substances and to ionizing radiation.
7.Occupations involving exposure to bloodborne pathogens.
8.Operation of elevators or other
9.Operation of
10.Occupations involving slaughtering, meatpacking or processing, or rendering.
11.Occupations involved in the operation and cleaning of
12.Occupations involved in the operation of
13.Occupations involved in the manufacture of brick, tile, and kindred products.
14.Occupations involved in the operation and cleaning of circular saws, band saws and guillotine shears.
15.Occupations involved in wrecking, demolition, and shipbreaking operations.
16.Occupations involved in roofing operations.
17.Occupations involved with excavation operations.
18.Electrical work with voltages exceeding 220, or outside erection or repair, and
19.Occupations involved in canvassing, peddling,
IF UNDER 16 THESE ADDITIONAL OCCUPATIONS ARE ALSO PROHIBITED:
1.Occupations in manufacturing, mining, or processing, including work rooms or places where goods are manufactured, mined, or otherwise processed.
2.Occupations involved in operation of hoisting or
3.Operation of motor vehicle or service as helper on motor vehicle.
4.Public messenger service.
5.Occupations in or about canneries, seafood plants, including cutting, slicing, or butchering, or the operation of any floating plant and including loading or unloading.
6.Work performed in or about boilers, engine rooms, or retorts.
7.Work involved with maintenance or repair of the establishment’s machines or equipment.
8.Occupations that involve working from window sills, ladders, scaffolds, or their substitutes.
9.Occupations which involve operating, setting up, adjusting, cleaning, oiling, or repair of
10.Work in freezers, meat coolers, or preparation of meat for sale.
11.Loading or unloading to and from trucks, railroad cars, or meat conveyors.
12.Occupations in warehouses except office and clerical work.
13.Occupations involving use of sharpened tools.
14.Occupations in transportation of persons or property, warehousing and storage, construction (including demolition and repair) except office or sales work in connection with these occupations.
The federal prohibition on the hours 14 and 15 year old minors may be allowed to work is stricter than Alaskan law. Due to this conflict, an employer of 14 or 15 year old minors may find that they are in compliance with State law, but in violation of federal law. For example:
Federal Law |
State Law |
Children 14 and 15 years old may only work:
1.outside school hours.
2.No more than 40 hours in any one week when school is not in session.
3.Not more than 18 hours in any week when school is in session.
4.Not more than 8 hours in any one day when school is not in session.
5.Not more than 3 hours in any one day when school is in session.
6.Between 7 a.m. and 7 p.m. in any one day except during the summer (June 1 through Labor Day), when the evening hours will be 9 p.m.
Children 14 and 15 years old may work:
1.A total of 9 hours of school and work combined in one day.
2.Only between the hours of 5 a.m. to 9 p.m.
3.No more than 23 hours per week outside of school hours (domestic work and babysitting excepted).
4.No more than 6 days per week.
There are certain exceptions to the federal law; for example, children in
TITLE 4 ALCOHOLIC BEVERAGES
AS 04.16.049. Access of persons under the age of 21 to licensed premises:
(a)A person under the age of 21 years may not knowingly enter or remain in premises licensed under this title unless:
(1)accompanied by a parent, guardian or spouse who has attained the age of 21 years;
(2)the person is at least 16 years of age, the premises are designated by the board as a restaurant for the purposes of this section, and the person enters and remains only for dining; or
(3)the person is under the age of 16 years, is accompanied by a person over the age of 21 years, the parent or guardian of the underaged person consents, the premises are designated by the board as a restaurant for the purposes of this section, and the person enters and remains only for dining.
(c)Notwithstanding any other provision in this section, a person between 16 or 17 years of age may enter and remain within the licensed premises of a hotel, restaurant, or eating place in the course of employment if
(1)the employment does not involve the serving, mixing, delivering, or dispensing of alcoholic beverages;
(2)the person has the written consent of a parent or guardian; and
(3)an exemption from the prohibition of AS 23.10.355 is granted by the Department of Labor and Workforce Development. The board, with the approval of the governing body having jurisdiction and at the licensee's request, shall designate which premises are hotels, restaurants, or eating places for the purposes of this subsection.
(d)Notwithstanding any other provision in this section, a person 18, 19, or 20 years of age may be employed within the licensed premises of a hotel, restaurant, or eating place, may enter and remain within those premises for the purpose of employment, but may not in the course of employment, sell, serve, deliver, or dispense alcoholic beverages.
TOBACCO &
AS 11.76.106 restricts access to areas where tobacco and tobacco products are sold. Minors under 19 years may not sell tobacco or tobacco products in the course of their employment. 15 AAC 160.480(b) prohibits the sale of
MAY2012 WPBACK |
THIS FORM IS AVAILABLE ON THE INTERNET AT: www.labor.state.ak.us/lss/forms/workpmit.pdf |
Your Questions, Answered
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What is the purpose of the Alaska Work Permit form?
The Alaska Work Permit form is designed to regulate the employment of minors in the state. It ensures that minors are legally allowed to work and that their employment complies with state labor laws. The form requires information from both the employer and the minor's parent or guardian, confirming that the minor has permission to work and that the employer will adhere to safety and labor regulations.
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Who needs to complete the Alaska Work Permit form?
The form must be completed by both the employer and the minor's parent or guardian. The employer fills out Section A, providing details about the job, the minor's duties, and the work environment. The parent or guardian must complete Section B, granting permission for the minor to work. This dual completion ensures that both parties are aware of and agree to the terms of employment.
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What are the age requirements for obtaining a work permit in Alaska?
In Alaska, work permits are available for minors aged 14 to 17. However, specific regulations apply based on age. For instance, 14 and 15-year-olds have stricter limitations on work hours compared to 16 and 17-year-olds. Employers must verify the minor's age and keep proof of it on file.
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What are the restrictions on work hours for minors in Alaska?
Minors aged 14 and 15 are limited to working a total of nine hours of school attendance and work combined in one day, and they cannot exceed 23 hours of work per week when school is in session. During school vacations, they may work up to 40 hours per week. Minors under 18 cannot work more than six days a week and must receive a 30-minute break after five consecutive hours of work.
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Are there specific jobs that minors are prohibited from performing?
Yes, there are several occupations that are prohibited for all minors under 18. These include jobs involving explosives, mining, logging, and operating power-driven machinery, among others. For those under 16, additional restrictions apply, such as prohibiting work in canneries or with sharp tools. Employers must be aware of these restrictions to ensure compliance with state labor laws.
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Dos and Don'ts
When filling out the Alaska Work Permit form, it is crucial to follow certain guidelines to ensure a smooth process.
- Ensure that the employer completes and signs SECTION A accurately.
- Have the parent or guardian complete and sign SECTION B before employment begins.
- Verify the minor's age and keep a copy of the proof of age on file at the employer's premises.
- Submit the completed work permit to the appropriate Wage and Hour office.
- Return a signed copy of the work permit by the parent or guardian within seven calendar days of the minor starting work.
- Ensure that all information is provided completely and accurately to avoid delays.
- Check that the work duties assigned to the minor comply with state labor laws.
However, there are also things to avoid when completing this form:
- Do not leave any sections of the form blank, as incomplete forms will delay processing.
- Avoid submitting the form without the required signatures from both the employer and parent or guardian.
- Do not ignore the restrictions on the types of work minors can perform.
- Do not submit the form without verifying that the minor meets age requirements for the intended job.
- Avoid submitting the work permit after the minor has already started working.
- Do not forget to keep a copy of the work permit on file for future reference.
- Do not assume that state laws are the only regulations; federal laws may also apply.
Similar forms
The Alaska Work Permit form shares similarities with the Minor Work Permit used in many states across the U.S. This document requires both employer and parental consent, ensuring that minors are not only legally allowed to work but also that their working conditions are safe and appropriate. Much like the Alaska form, it outlines specific duties and hours of work, reflecting the shared goal of protecting minors in the workforce while allowing them to gain valuable experience.
Another document that resembles the Alaska Work Permit is the Employment Certificate, commonly known as a "working papers" form. This certificate is often required for minors to verify their age and eligibility to work. Similar to the Alaska Work Permit, it mandates signatures from both the employer and a parent or guardian. This document emphasizes the importance of parental involvement in a minor’s employment, ensuring that they are aware of and approve the work conditions.
The Child Labor Law Compliance Certificate is another document that aligns closely with the Alaska Work Permit. This certificate serves as proof that an employer is adhering to federal and state child labor laws. Like the Alaska form, it highlights the restrictions on working hours and types of employment suitable for minors. The goal is to safeguard minors from exploitation and ensure their education is not compromised by excessive work hours.
The Youth Employment Application is also similar in nature. While primarily focused on the application process, it often requires information about the minor's age and parental consent. Just as the Alaska Work Permit mandates verification of age, this application ensures that minors are qualified for the jobs they are applying for and that their working conditions will be monitored appropriately.
The School Work Experience Program Agreement is another related document. This agreement outlines the terms under which a minor can work while still attending school. Similar to the Alaska Work Permit, it involves the school, employer, and parents in the decision-making process. The shared objective is to ensure that the minor’s education remains a priority while they gain practical work experience.
The Certificate of Age is another document that bears resemblance to the Alaska Work Permit. This certificate is often required by employers to prove a minor's age before hiring. Like the Alaska form, it is intended to prevent the employment of minors in hazardous occupations and ensure compliance with labor laws designed to protect young workers.
In navigating the complexities of various employment-related documents for minors, it is important to recognize the role of resources such as smarttemplates.net, which provide essential templates that can streamline the process of acquiring necessary permissions and ensuring compliance with labor laws. These resources help parents, employers, and minors understand their rights and responsibilities, thus fostering a safer and more supportive work environment.
The Parental Consent Form is similar in that it requires explicit approval from a parent or guardian for a minor to work. This document reinforces the importance of parental awareness and involvement in the minor's employment journey. Like the Alaska Work Permit, it serves to protect the minor's interests and ensures that they are not exposed to unsafe working conditions.
The Job Safety and Health Protection Poster is also relevant in this context. While it is not a permit, it serves to inform minors and their employers about their rights and responsibilities regarding workplace safety. Similar to the Alaska Work Permit, it emphasizes the need for a safe working environment, particularly for vulnerable populations such as minors.
Lastly, the Internship Agreement often mirrors the Alaska Work Permit in that it outlines the responsibilities of both the employer and the minor. This document typically requires parental consent and addresses the educational value of the internship, much like the work permit does for employment. Both documents aim to ensure that minors are engaged in meaningful work experiences that contribute positively to their development.
How to Write Alaska Work Permit
Completing the Alaska Work Permit form is a straightforward process that requires input from both the employer and the minor's parent or guardian. Once the form is filled out correctly, it must be submitted for approval before the minor can begin working. Follow these steps to ensure you complete the form accurately.
- Employer Information: In Section A, the employer should fill out their name, fax number, phone number, mailing address, and the physical address of the employment location.
- Job Details: The employer must describe the duties the minor will perform, list any tools or equipment they will use, and specify the hourly rate and pay periods.
- Alcohol Service: Indicate whether the minor will work at an establishment that serves alcohol. If yes, provide the Restaurant Designation Permit (RDP) number and confirm if a valid RDP is filed with the Alcoholic Beverage Control Board.
- Signature: The employer must print their name, sign the form, and date it, affirming they will keep a copy of the minor's proof of age on file.
- Parent/Guardian Information: In Section B, the parent or guardian should print the minor's name, address, and date of birth.
- Consent: The parent or guardian must sign the form, confirming their consent for the minor to be employed, and provide their telephone number and date.
- Submission: The employer submits the completed work permit to the Wage and Hour office for approval.
- Approval Process: Once the work permit is approved, the employer will receive it back. At this point, the minor can begin working.
- Final Steps: The employer must return a signed copy of the work permit from the parent or guardian within seven calendar days of the minor starting work.
Documents used along the form
When applying for an Alaska Work Permit, several other documents may also be required to ensure compliance with state regulations. Each of these forms serves a specific purpose in the process of obtaining permission for minors to work legally. Below is a list of common forms and documents associated with the Alaska Work Permit.
- Proof of Age Documentation: This document verifies the minor's age and is typically a birth certificate or other official identification. Employers must keep a copy on file to confirm compliance with labor laws.
- Employer's Statement of Duties: This form outlines the specific tasks the minor will perform at work. It helps ensure that the job is appropriate for their age and complies with state labor regulations.
- Parental Consent Form: A signed document from a parent or guardian granting permission for the minor to work. This form is essential for legal compliance and must be submitted with the work permit application.
- California ATV Bill of Sale: Ensure you have the https://toptemplates.info/bill-of-sale/atv-bill-of-sale/california-atv-bill-of-sale to document the sale of an ATV, as it outlines the terms and details necessary for the transfer of ownership in compliance with state regulations.
- Wage and Hour Compliance Form: This form ensures that the employer understands and agrees to comply with wage and hour laws applicable to minors. It includes information on pay rates and work hours.
- Health and Safety Guidelines Acknowledgment: This document confirms that the employer has informed the minor about workplace safety and health regulations. It ensures that minors are aware of potential hazards and their rights.
- Job Description: A detailed description of the job role the minor will fill, including responsibilities and working conditions. This helps both the employer and the minor understand the expectations of the position.
Understanding these additional documents is crucial for both employers and minors. Each plays a vital role in ensuring that the employment process is legal, safe, and beneficial for young workers. Proper documentation not only protects the rights of minors but also helps employers adhere to state and federal labor laws.
Misconceptions
There are several misconceptions regarding the Alaska Work Permit form that can lead to confusion for employers and parents alike. Below are some common misunderstandings, along with clarifications to help ensure compliance with the law.
- Misconception 1: Only the minor needs to sign the work permit.
- Misconception 2: Minors can work any hours they want during school vacations.
- Misconception 3: The employer does not need to keep proof of the minor's age on file.
- Misconception 4: The Alaska Work Permit form is the only requirement for employing minors.
- Misconception 5: All minors can work in any establishment, including those that serve alcohol.
This is incorrect. Both the employer and the parent or guardian must sign the work permit. The employer completes Section A, while the parent or guardian must complete and sign Section B before the minor can begin working.
This is a misunderstanding of the regulations. While minors may work longer hours during school vacations, they are still restricted to a maximum of 8 hours per day and 40 hours per week. Work must be performed only between 5 a.m. and 9 p.m.
In fact, employers are required to verify the minor's age and keep a copy of the proof of age on file at their premises. This is an important step to ensure compliance with labor laws.
This is not entirely true. While the work permit is essential, employers must also adhere to federal regulations, which may impose stricter limitations on hours worked and types of jobs for minors. It is crucial to be aware of both state and federal laws.
This is misleading. Minors aged 16 and 17 may work in establishments that serve alcohol, but only under specific conditions. They cannot serve, mix, or dispense alcoholic beverages unless they meet certain criteria, including having written consent from a parent or guardian.
Common mistakes
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Incomplete Information: Failing to provide all required details can delay the processing of the work permit. Each section must be fully filled out.
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Missing Signatures: Both the employer and the parent or guardian must sign the appropriate sections. Omitting a signature can result in a denial.
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Incorrect Age Verification: Employers must verify the minor's age and keep proof on file. Not doing this can lead to legal issues and fines.
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Ignoring Duty Restrictions: Employers must ensure that the duties assigned to the minor comply with Alaska child labor laws. Assigning prohibited tasks can lead to penalties.
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Late Submission: The employer must return a signed copy of the work permit within seven calendar days of the minor starting work. Delays can cause complications.
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Failure to Check Work Hours: Minors aged 14 and 15 have specific hour restrictions. Ignoring these can result in violations of labor laws.
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Not Keeping Records: Employers are required to maintain records of the minor's proof of age and work permit. Failing to do so can lead to legal consequences.
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Confusing State and Federal Laws: Employers may mistakenly believe that state laws are sufficient. Federal regulations may impose stricter limitations on minors.
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Neglecting Alcohol Serving Regulations: If the minor will work in an establishment serving alcohol, specific rules apply. Not adhering to these can result in severe penalties.