British Columbia.
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BC Ministry of Labour, Employment Standards Branch

 
Employment Standards Act
Part 2, Section 9

OFFICE USE ONLY

Er. No.

  

Assig. No.

  

Assig. Ty.

  

Officer

  

Ee. No.

  

Application of Employer for Child's Permit of Employment

A printable pdf version of this form is also available

1.

I/We, __________________________________________________________________________________

(Print Legal Name of Employer)

of ________________________________________________________

(Mailing Address)

Postal Code ______________

_______________________________________________________________________________________

(Street Address, if Different)

Telephone  ________________

Contact Person  ________________________________________

being an employer within the meaning of the Employment
Standards Act, hereby make application to employ    _____________________________________________

                                                                (Name of Child)

of _______________________________________________________

(Mailing Address)

Postal Code ______________
  being a child within the meaning of the said Act. (NOTE - A child means a person under the age of twelve years.)

2.

The nature of the business or industry is _______________________________________________________

3.

The following is a description of the type of work and the hours of work which the child would be called upon to perform while employed by me/us: 

(a)

Type of Work:

(b)

Rate of Pay:

(c)

Hours of Work

(State Definite Shifts)

Sundays:

Mondays:

Tuesdays:
 

Wednesdays:

Thursdays:

Fridays:

Saturdays:

 _____________________________________________________________________________________

 _____________________________________________________________________________________

4.

The work to be performed shall not be of a dangerous nature or detrimental to the welfare of the child.

Date: _______________________

Signed: __________________________________________

(Employer)

After completing the above information, employers should arrange for the sections on the reverse to be completed by the child's parent and the school authority. When complete, the form and a copy of the child's birth certificate should be returned to the nearest Employment Standards Branch office.
 

 
 
 
Ministry of Labour

Declaration of Parent or Guardian

I, _______________________________________________________________________ do hereby declare that

(Print Name of Parent or Guardian)

I am the ________________________________

(Parent/Guardian)

of  _________________________________ 

(Name of Child)

born on the _______________ day of ____________________ , 19 ______

Attached is a copy of the child's birth certificate.

I hereby consent to the employment of the child under the conditions set out on the employer's application on the reverse of this form.

Date: _______________________________

 

Signed: _____________________________

(Parent or Guardian)

Telephone:

   Business: ____________________________

   Home: ______________________________

Mailing Address:

___________________________________

___________________________________

Postal Code: _________________________

Endorsement by School Authority

(To be completed only if the child will work during the school year.)

Name of School: ___________________________________________________________________

Address: _________________________________________________________________________

Telephone: ______________________

I   checkbox graphic do    checkbox graphic do not  recommend that the employment application by approved.

Comments: _______________________________________________________________________

________________________________________________________________________________

Date: _____________________

Signature: ___________________________________________

Name: ______________________________________________

Position: ____________________________________________

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