Parent or Guardian Consent Form - Ohio

PARENT OR GUARDIAN CONSENT FORM
Full Name of Minor
First Last Middle Initial
Proof of Age (Minor must present a copy of proof of age that can be kept with personnel records).
Type of Document:
A
ddress of Mino
r
Street City, State ZIP
Date of Birth Age School District in Which Minor Lives
School Minor Attends
Name of Parent or Guardian Relationship to Minor
Address of Parent of Guardian Telephone Number
Street City, State ZIP
I hereby certify that to the best of my knowledge and belief, the above statements are true and that the minor
named above may work with my approval.
Signature of Parent or Guardian Date Signed
Minors aged sixteen or seventeen who are to be employed during summer vacation months after the last day of the
school term in the spring and before the first day of the school term in the fall, in nonagricultural and nonhazardous
employment as defined by the ''Fair Labor Standards Act of 1938'', 52 Stat. 1060.29 U.S.C.A. 201, and similar state
statutes, or in other employment not prohibited to minors age sixteen or seventeen by law, shall not be required to
provide an age and schooling certificate as a condition of employment. In order to be hired for employment during
summer vacation months, such minors shall provide the employer with the following:
(1) Evidence of proof of age in the same manner as proof of age is provided the superintendent of schools
under division C of section 3331.02 of the Revised Code.
(2) A statement signed by the minor's parent or guardian consenting to the proposed employment during the
summer vacation months. For the purpose of this section, in the absence of a parent or guardian a person over
eighteen years of age with whom the minor resides may sign such statement.
The employer shall retain a copy of the proof of age and the statement of consent with the minors employment records.
LAW1008
LAW1008
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Parent or Guardian Consent Form - Ohio PDF

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