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State Form Number (SFN) 04598

Employment and Age Certificate

Instructions for SFN 04598

The Employment and Age Certificate 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 required to complete and file the certificate:

  • The teen is exempt from compulsory school attendance requirements under N.D.C.C. 15.1-20-02(1)(b), (c), or (d) - (12kb pdf)
  • The teen works for and under the direct supervision of his or her parent, grandparent, or legal guardian (provided that the parent, grandparent, or legal guardian has 100% ownership of the business)
  • The teen works in domestic service (domestic service means services of a household nature performed in or about the employer's private home)
  • The teen works on a farm doing agricultural work
  • 600 East Boulevard Ave
  • Dept 406
  • Bismarck ND 58505-0340
  • (701) 328-2660
  • 1-800-582-8032 - In-state toll-free
  • 1-800-366-6888 or 1-800-366-6889 - TTY (Relay ND)
  • (701) 328-2031 Fax