Homepage Fill Out Your Wisconsin Work Permit Template
Structure

The Wisconsin Work Permit form serves as a crucial document for minors seeking employment in the state. This form is designed to ensure that all necessary information is collected and verified before a work permit can be issued. To initiate the process, specific documentation must be presented in person, including proof of age, such as a birth certificate or school record, and a Social Security card. If the card is lost, verification through the Social Security Administration is required. Employers play a significant role in this process, as they must provide detailed information about the job, including the position, duties, and work schedule. Additionally, parental consent is mandatory, requiring a signature from a parent, guardian, or court-ordered foster parent. A fee of $10.00 is associated with the issuance of the permit, which can be paid by either the employer or the minor, with reimbursement stipulated if the minor pays. The completion of this form ensures that both the minor's rights and the employer's responsibilities are clearly outlined, facilitating a smooth transition into the workforce for young individuals.

Form Example

STATE OF WISCONSIN WORK PERMIT REQUEST FORM

Allow 24 Hours for Completion

(See Ms. Winters at the front office in the morning, and pick up at the end of the school day)

The following items MUST BE PROVIDED IN PERSON before a work permit can be issued to the minor or parent/guardian:

1.REQUIRED: A duly attested birth certificate (preferred form of age documentation), or a verified baptismal certificate, or a driver’s license, or photo ID card issued by the Department of Transportation, or a school record for proof of the minor’s age.

2.REQUIRED: The minor’s Social Security card for proof of Social Security number. If the minor’s Social Security card is lost, then the Social Security number MUST be verified by contacting a Social Security representative. To do that, the minor and/or the minor’s parent, guardian, or

court-ordered foster parent must go to your office of Social Security and request a replacement card. The Social Security Representative will provide you with a print out verifying the minor’s social security number.

3.REQUIRED: Completion on this form of the employer information below; or a letter from the employer containing the employer’s name, address, telephone number, and signature, along with a statement of the intent to employ the minor, the job title, the job duties, the days of work, and the approximate number of hours of work per week.

4.REQUIRED: The signature below of the minor’s parent, guardian, or court-ordered foster parent; or a letter from the minor’s parent, guardian, or court-ordered foster parent giving consent for the minor to accept the employment being offered by the employer.

5.REQUIRED: Payment from the employer of $10.00 for the work permit fee. If the permit fee is paid by the minor rather than the employer, then the employer shall reimburse the minor for the permit fee no later than the first pay check issued to the minor.

EMPLOYER MUST COMPLETE THIS SECTION – WORK PERMIT REQUIRED INFORMATION

Employer Name

 

 

 

 

 

Today’s Date

 

 

 

 

 

 

Employer Mailing Address/City/State/Zip

 

 

 

 

 

 

 

 

 

 

Employer Telephone Number

 

 

 

Employer Fax Number

 

 

 

 

 

Printed Name of Minor Being Hired

 

 

 

Date Minor Will Begin Employment

 

 

 

 

Title of the Job Minor Will Be Performing

 

 

Approximate Number of Hours Per Week Minor Will Be Working

 

 

 

 

 

 

Days of the Week Minor Will Be Working

 

 

 

 

 

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

 

 

 

 

 

Provide a Brief Description of Job Duties:

 

 

 

 

 

 

 

 

Printed Name of Employer Representative

 

 

Signature of Employer Representative

 

 

 

 

 

 

 

 

PARENT OR GUARDIAN MUST COMPLETE THIS SECTION – REQUIRED INFORMATION

Name and Address of School that the Minor is Attending

Do Parents Own this Business?

Is the Minor a H.S. Graduate?

Is the Work Being Performed as Restitution?

Yes No

Yes No

 

Yes No

 

 

 

 

Printed name of Parent, Guardian, or Court-Ordered Foster Parent

Signature of Parent, Guardian, or Court-Ordered Foster Parent

 

 

I give my permission for the minor whose name is listed above to accept the work

 

 

that is described above.

 

 

 

 

 

Document Specs

Fact Name Details
Required Documentation To obtain a work permit, minors must provide a birth certificate, baptismal certificate, driver's license, photo ID, or school record as proof of age.
Social Security Verification A minor's Social Security card is required. If lost, verification can be obtained by contacting a Social Security representative.
Employer Information The employer must complete specific sections of the form or provide a letter detailing the employment offer, including job title and duties.
Parental Consent A signature from the minor's parent, guardian, or court-ordered foster parent is mandatory for the permit to be issued.
Permit Fee A fee of $10.00 is required for the work permit. If paid by the minor, reimbursement from the employer is required by the first paycheck.
Please rate Fill Out Your Wisconsin Work Permit Template Form
4.83
Exemplary
23 Votes