The Alaska Work Permit form is a document required for minors seeking employment in Alaska. It ensures that both the employer and the minor's parent or guardian understand the legal requirements for youth employment. To get started on the application process, click the button below to fill out the form.
The Alaska Work Permit form is a crucial document designed to ensure that minors can work legally while adhering to state labor laws. This form requires completion by both the employer and the minor's parent or guardian, ensuring that both parties are aware of and consent to the working conditions. Employers must provide their information, including the nature of the job and the minor's duties, while also verifying the minor’s age. The parent or guardian must sign off on the permit, affirming their consent for the minor to engage in employment. Upon approval, the minor can begin working, but the employer is responsible for maintaining a copy of the proof of age on file. The form outlines specific restrictions regarding working hours, especially for minors aged 14 and 15, and prohibits certain hazardous occupations. Compliance with both state and federal laws is essential, as violations can lead to serious consequences for employers. Understanding the requirements and responsibilities associated with the Alaska Work Permit form is vital for ensuring a safe and legal work environment for young individuals entering the workforce.
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:
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:
DBA/
Employer Phone Number:
Employer Local Mailing Address:
City:
Zip:
Location of Employment (Physical Address):
Duties to be performed by minor:
Tools, Equipment or Machinery to be used by minor:
Hourly Rate:
Pay Periods:
Will the minor be working at an establishment that serves alcohol?
YES
NO
RDP number:
If yes, is there a valid Restaurant Designation Permit (RDP) filed with the Alcoholic Beverage Control Board?
√ 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.
___________________________________________________________
____________________________________________
________________
Printed Name of Employer or Agent Acting for Employer
Signature
Date
Section (B) to be completed by PARENT or GUARDIAN prior to employment of minor
Name of Minor (Print):
Address:
Date of Birth:
I affirm that I am the
parent/stepparent or the
legal guardian of the above-named minor and that such minor has my consent to be employed in any occupation
authorized by the Alaska child labor laws, Alaska Statutes 23.10.325-370.
_________________________
Signature (Legal guardian must attach documentation)
Telephone Number
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 09.25.110-220 or be provided to other State agencies (see AS 44.99.310).
MAY2012 WPFRONT Indv-Gnrl
Labor Standards and Safety Division
Alaska Department of Labor and
Workforce Development
1111 West Eighth Street, Suite 302
1251 Muldoon Road, Suite 113
675 7th Avenue, Station J-1
Juneau, Alaska 99802-1149
Anchorage, Alaska 99504
Fairbanks, AK 99701
Phone: 465-4842
Phone: 269-4909
Phone: 451-2886
FAX: 465-3584
FAX: 269-4915
FAX: 451-2885
EMPLOYERS PLEASE NOTE:
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 power-driven woodworking machines.
6.Occupations with exposure to radioactive substances and to ionizing radiation.
7.Occupations involving exposure to bloodborne pathogens.
8.Operation of elevators or other power-driven hoisting apparatus.
9.Operation of power-driven metal forming, punching, and shearing machines.
10.Occupations involving slaughtering, meatpacking or processing, or rendering.
11.Occupations involved in the operation and cleaning of power-driven bakery machines.
12.Occupations involved in the operation of power-driven paper products machines.
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 meter-testing, including telegraph and telephone lines.
19.Occupations involved in canvassing, peddling, door-to-door solicitation, or sales.
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 power-driven machinery other than office machines.
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 power-driven food slicers, grinders, choppers, cutters, and bakery-type mixers.
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 work-study programs through their schools are exempt from some or all of the hour restrictions. For further information on the federal law, contact the United States Department of Labor, Wage and Hour Division, Telephone: 1-866-487-9243. Or in Anchorage: (907) 271-2867
TITLE 4 ALCOHOLIC BEVERAGES -- ALASKA STATUTES
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 & PULL-TABS
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 pull-tabs by anyone under the age of 21.
MAY2012 WPBACK
THIS FORM IS AVAILABLE ON THE INTERNET AT: www.labor.state.ak.us/lss/forms/workpmit.pdf
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