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Employment compensation / Management / Labour relations / Labour law / Work permit / Child labor laws in the United States / Working time / Human resource management / Industrial relations


Application for a Work Permit Statement of Intent to Employ Minor and Request for Work Permit Not a work permit —Print all information except signatures For Minor to Complete 
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Document Date: 2010-10-28 13:48:31


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Company

Sun / /

Holiday

Labor Day / /

IndustryTerm

Power-driven metal forming / tile products / telephone directories / compensation insurance / Business telephone / restrictive law / compensation insurance requirements / manufacturing / transportation occupations / Manufacturing brick / Power-driven meat slicing/processing / /

Organization

School For Employer / Date For School / U.S. Department of Labor / California Department of Industrial Relations / Division of Labor Standards Enforcement / CALIFORNIA DEPARTMENT OF EDUCATION FORM B1-1 / /

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Position

Supervisor / signature Supervisor / /

ProvinceOrState

California / /

Technology

Radiation / /

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