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Employment and Age Certificate Form 4598 Wage Claim Form 17081 Complaint Inquiry Form 52114 Employment Discrimination Questionnaire/Affidavit Form 14543 Employment Retaliation (Whistleblower) Questionnaire/Affidavit Form 54049 Housing Discrimination Intake Questionnaire Form 52229 Human Rights Discrimination Intake Questionnaire Form 52974 |
Instructions for Employment and Age CertificateForm 4598 (75kb pdf)The Employment and Age Certificate ("work permit") is required to be completed at the start of each employment relationship entered into by teens ages 14 and 15. Information for the form is gathered from the teen, his or her parent or legal guardian, and the employer. Once completed, the original form and copies are to be distributed according to the schedule indicated at the bottom of the form. Limited exemptions exist that relieve teens of the requirement to complete an Employment and Age Certificate. Teens meeting one or more of the following exemptions are not be required to complete and file a work permit:
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