power-driven metal forming / food service / machinery / food choppers / establishments manufacturing / public transportation / powerdriven food slicers / mining / oil / public utilities / manufacturing occupation / transportation media / retail / power-driven machinery / chemicals / advertising departments / actual construction site / food / /
Organization
Iowa Code Chapter / Iowa Division of Labor / / /
Position
Parent/Guardian/Custodian/Head / motor vehicle driver / Public messenger / labor commissioner / Signature Zip Date Signed PARENT/GUARDIAN/CUSTODIAN/HEAD / /
IOWA CHILD LABOR APPLICATION/WORK PERMITAll information on this form is to be legibly printed or typed, except for signatures. For more information or questions, contact the Iowa Division of Labor, Child Labor, 1