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Application For Minors Certificate Of Employment
Application For Minors Certificate Of Employment
HAWAII DEPARTMENT OF LABOR AND INDUSTRIAL RELATIONS
WAGE STANDARDS DIVISION - CHILD LABOR OFFICE
CERTIFICATE OF EMPLOYMENT
(To be Used Only for Minors Under 16)
Minors 16 and 17 years of age should apply for a Certificate of Age, by presenting an *acceptable proof of age document to the Child Labor
Office. You may also apply through the department's website at http://
labor.hawaii.gov/wsd.
IMPORTANT: This application should be signed by the employer only if the minor is promised a job. Before the minor starts working,
a completed application (form CL-1) and an *acceptable proof of age document must be submitted to this office. A minor is NOT
permitted to work until the employer receives a Temporary Authorization slip.
The minor is not required to appear in person - anyone may return this application and the proof of age document either in person or by
mail. You may fax the application, but the original CL-1 is required to be returned to this office before a certificate can be issued. If the
employment is allowable under the Child Labor Law, a Certificate of Employment will be mailed to the employer. Certificates are issued
only for employment with the employer named on this application.
RESTRICTIONS ON HOURS
Minors 14 and 15 years of age may work:
Not more than 3 hours per day on a school day
Not more than 8 hours per day on a non-school day
During a school week, not more than 18 hours per week
During a non-school week, not more than 40 hours per week
On school days and the day before a school day: Between 7:00 a.m. and 7:00 p.m.
On non-school days and the day before a non-school day: Between 6:00 a.m. and 9:00 p.m.
Other limitations:
Not more than 6 consecutive days of work; Not more than 5 consecutive hours without at least a 30-minute rest or
meal period.
Enter the job the minor will be performing if this application is approved;
some jobs are considered hazardous for 14 and 15 year olds.
This employment may also be subject to the federal child labor provisions under the Fair Labor Standards Act. For information, contact
the U.S. Department of Labor (USDOL), Wage and Hour Division.
1 - 7.
Type or print legibly and clearly the information on the minor.
Employer to complete:
Job and Title Minor Hired For
9.
Employment to Begin On
Date the minor will start working.
10.
Hours of Work (a to e)
Employer must fill in the hours the minor will be working.
Employer information
Employer/Representative Name
Employer/representative must print name, sign and date the application
Fill in requested employer information.
Parent or guardian to complete:
18.
Parent or guardian name,
signature, address, phone
Minor's parent or guardian must print name, sign, and provide
information.
*ACCEPTABLE PROOF OF AGE DOCUMENTS:
Birth certificate
Court record
NOTE: A social security card is NOT an
Driver's license
Baptismal certificate
acceptable proof of age document.
Bible record
State of Hawaii ID
Hospital recordSchool record (NOT school ID)
Immigration record (alien card, passport, visa)
Military ID (front and back of card)
INSTRUCTIONS FOR FORM CL-1, APPLICATION FOR MINOR'S
For further information, forms, and publications: Contact the Child Labor Office in your county at the locations listed below
or on the internet at http://labor.hawaii.gov/wsd. Office hours are from 7:45 a.m. to 4:30 p.m., Monday through Friday,
except State holidays.
Visit our Website at http://labor.hawaii.gov for ALL interactive and downloadable forms.
(Rev. 12/12)
State Building, Rm. 108, Hilo, HI 96720
Hilo
Kauai
Maui
Oahu
West Hawaii
830 Punchbowl Street, Rm. 340, Honolulu, HI 96813
3060 Eiwa Street, Rm. 202, Lihue, HI 96766
2264 Aupuni Street, Wailuku, HI 96793
Phone: (808) 586-8777
Phone: (808) 974-6464
Post Office Building, P.O. Box 49, Kealakekua, HI 96750
Phone: (808) 322-4808
Phone: (808) 274-3351
Phone: (808) 984-2075
11 - 15.
8 - 8a.
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source: p12.nysed.gov
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