Blank Michigan Permit PDF Form

Blank Michigan Permit PDF Form

The Michigan Permit form, officially known as the Combined Offer of Employment and Work Permit/Age Certificate CA-7, is a crucial document for minors aged 16 and 17 seeking employment. This form ensures that the employment complies with state and federal laws while safeguarding the minor’s well-being. To get started on your application, fill out the form by clicking the button below.

The Michigan Permit form, officially known as the Combined Offer of Employment and Work Permit/Age Certificate CA-7, serves as a crucial document for minors aged 16 and 17 seeking employment. This form ensures that both the minor and the employer adhere to various regulations governing youth employment. Before a minor can begin working, the employer must have a completed work permit on file, which includes vital information such as the minor’s name, age, and contact details, as well as specifics about the job being offered. Employers are responsible for providing proper supervision and must comply with all applicable laws, including those that prohibit discrimination. The form is divided into three sections: the first section is completed by the minor, the second by the employer, and the third by the school’s issuing officer, who verifies the minor’s age and compliance with relevant laws. This process not only protects the rights of young workers but also ensures that they are not placed in hazardous jobs. The work permit remains valid until the minor turns 18 or graduates, provided they continue working for the same employer. Understanding the requirements and responsibilities outlined in the Michigan Permit form is essential for both minors and employers to foster a safe and compliant working environment.

Document Sample

State of Michigan

Combined Offer of Employment and Work Permit/Age Certificate CA-7 for minors 16 and 17 years of age

Permit Number for School Use (optional)

Employer Information:

The employer must have a completed work permit form on file before a minor begins work.

The employer must always provide competent adult supervision.

The employer of the minor must comply with federal, state, and local laws and regulations including nondiscrimination against any applicant

or employee because of race, color, religion, national origin or ancestry, age, gender, height, weight, marital status, or disability.

The employer must return the work permit to the issuing officer upon termination of the minor’s employment.

Directions: Please type or print using an ink pen. See back of this form for summary of requirements.

Section I: To be Completed by Minor Applicant

Name of Minor:

 

 

Address:

 

 

 

 

 

 

 

 

 

City:

 

 

ZIP:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Age:

Date of Birth

 

Last Four Digits of

 

Contact Telephone Number for

 

Application Submitted Electronically: [ ] Yes [ ] No

 

Month/Day/Year:

 

Social Security Number:

 

Minor:

 

 

 

If yes, provide email address to return approved form:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of School (present or last attended):

Address:

 

 

 

 

 

 

 

 

 

City:

 

 

ZIP:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last Grade Completed:

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of Business (e.g., fast food,

retail sales):

School Status (check one): [ ] in school [ ] home schooled [

] online/cyber/virtual

[

] Not Attending

 

 

 

 

 

Name of Parent/Guardian (circle one):

Parent/Guardian Telephone:

 

 

 

 

 

Parent/Guardian Email Address (optional):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section II: To be Completed by the Employer - Offer of Employment

 

 

 

 

 

 

 

 

 

Name of Business:

 

 

Address:

 

 

 

 

 

 

 

 

 

City:

 

 

ZIP:

 

 

 

 

 

 

 

 

 

 

Earliest Starting Time a.m./p.m.:

Latest Ending Time

a.m./p.m.:

 

 

Hours per Day:

Number of Days per

Week:

Total Hours of Employment per

 

 

 

 

 

 

 

 

 

 

Not more than 6 per week

Week:

 

 

 

 

 

 

 

 

 

 

 

 

No more than 24 hours when school is

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

in session and 48 hours when school is

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

not in session

Applicant’s Job Title:

Hourly Wage:

Job Duties/Tasks to be Performed by Minor:

 

Equipment/Tools to be Used by Minor:

 

 

 

 

 

 

 

 

 

Will the minor be working under an existing hours deviation granted by the Michigan Wage and Hour Division? [

] No

[ ] Yes

 

 

If yes, attach a copy of the approved Michigan hours deviation and retain parent/guardian consent at the worksite.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of Employer:

 

 

Title:

 

 

 

 

 

 

 

 

 

Telephone:

 

Date:

(x)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section III: To be Completed by School’s Issuing Officer – Must be Signed by the Issuing Officer to be Valid

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of Work Hours

This is to certify that:

 

 

 

 

 

 

 

Evidence of Age Confirmed by (issuing officer checks one):

Per Week When School

(1) this form was properly completed,

 

 

 

 

 

 

 

 

 

 

 

 

 

is in Session:

(2) listed job duties are compliant with state and federal laws and

[

] Birth Certificate

[

] Certificate of Arrival in the U.S.

No more than

regulations,

 

 

 

 

24 hours per week

(3) listed hours are compliant with state and federal laws and

[

] Driver’s License

[

] Hospital Record of Birth

Number of Work Hours

regulations,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

While School Not in

(4) this form was signed by employer,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

[

] School Record

[

] Baptismal Certificate

Session:

(5) I authorize the issuance of this work permit.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

[

] Other (describe)

 

 

 

 

 

 

No more than

 

 

 

 

 

 

 

 

 

 

 

 

48 hours per week

Name of School District:

 

 

 

 

 

 

Printed Name of Issuing Officer:

 

 

Title:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City, State, ZIP:

 

 

 

 

 

 

Signature of Issuing Officer:

 

 

Issue Date:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone Number:

 

 

 

 

 

 

(x)

 

 

 

 

 

 

 

 

 

Form CA-7 (revised 4/2021) Combined Offer of Employment & Work Permit and Age Certificate

Instructions for completing CA-7 must be printed on back of form for form to be valid.

Summary of Requirements

CA-7 MICHIGAN WORK PERMIT AND AGE CERTIFICATE

Who Needs a CA-7 Work Permit? A minor who is 16 or 17 years of age and not specifically exempted from the Youth Employment Standards Act (P.A. 90 of 1978). This completed form permits a minor to be employed only by the employer and at the location listed in Section II. Employers must complete a CA-7 for minors who start employment at 16 years of age. CA-7 Work Permits are valid until a minor turns 18 years of age or graduates as long as the minor works for the same employer. Home schooled students must be issued a work permit from an authorized issuing officer. Additionally, 16- or 17-year-old minors currently not attending school who have not met the requirements of graduation, or have not obtained a GED, or have not been emancipated by court order must secure a work permit from an authorized issuing officer.

Who Issues the Work Permit? The issuing officer is the chief administrator of a school district, intermediate school district, public school academy, or nonpublic school, or a person authorized by that chief administrator, in writing, to act on his/her behalf. A work permit may be issued by the school the minor attends, the school district where the minor resides, or the district where the minor will be employed.

Employment of Minors: A person under 18 years of age shall not be employed in, about, or in connection with an occupation which is hazardous or injurious to the minor’s health or personal well-being or which is contrary to standards established by state and federal acts, e.g., construction, slicers, motor vehicle operation, power-driven machinery. The minimum age for employment is 14 years except that a minor 11 years of age or older may be employed as a golf or bridge caddy or youth athletic program referee and a minor 13 years of age or older may be employed in some farming occupations or as a trap-setter. Adult supervision is required.

Instructions for Completing and Issuing:

1.The Minor completes Section I of the CA-7 form.

2.The prospective Employer completes Section II.

3.The Issuing Officer verifies the age of Minor using the best available evidence and ensures compliance with state and federal laws and regulations.

4.The Work Permit is issued by the Issuing Officer signing and dating the form in Section III.

5.The Issuing Officer maintains a copy for the school file.

6.The Minor returns the completed form to the Employer before beginning work.

The failure or refusal to issue a work permit by the school may be appealed by the minor in accordance with Public Act 306 of 1969.

Employer’s Responsibilities: The issuance of a work permit does not authorize employment of minors contrary to state or federal laws and regulations.

Must have a completed work permit form maintained at the minor’s worksite before a minor begins work.

Shall keep any approved deviation with parental consent on file at the minor’s worksite.

Must always provide competent adult supervision.

Must comply with federal, state, and local laws and regulations including nondiscrimination against any applicant or employee because of race, color, religion, national origin or ancestry, age, gender, height, weight, marital status, or disability.

Records required by Public Act 90 of 1978, as amended, must be maintained, and made available for inspection by an authorized department representative.

Must return the work permit to the issuing officer upon termination of the minor’s employment.

Must post required workplace posters at worksite; Michigan Wage and Hour posters may be downloaded at www.michigan.gov/wagehour.

Issuing Officer’s Responsibilities: A copy of the CA-7 and any Michigan Department of Labor and Economic Opportunity deviation forms shall be filed in the minor’s permanent school file. Work permits shall not be issued if the work is hazardous, information is incomplete, or if the minor’s employment is in violation of state or federal laws and regulations.

Hours of Work: Minors 16 years of age and older may work:

1.6 days in 1 week.

2.A weekly average of 8 hours per day.

3.10 hours in one day.

4.24 hours in 1 week when school is in session and 48 hours in 1 week when school is not in session.

5.Not more than 5 hours continuously without a documented 30-minute uninterrupted meal or rest period.

6.Between 6:00 a.m. and 10:30 p.m., but not during school hours

7.Until 11:30 p.m. Friday and Saturday and when not regularly attending school, e.g., summer vacation.

Hours Deviations: At any time, an employer may apply through the Michigan Wage and Hour Division for a General Hours or an Individual Hours Deviation allowing the minor to start work before and end work after the times allowed by the act. The number of hours a minor may work during a day or week remains the same.

Michigan Youth Employment Standards Act (P.A. 90 of 1978): For information about the law, rules, and regulations contact the Michigan Department of Labor and Economic Opportunity, Wage and Hour Division; PO Box 30476, Lansing, MI, 48909, phone 517-284-7800, www.michigan.gov/wagehour .

Federal Fair Labor Standards Act: For information about federal child labor provisions contact the U.S. Department of Labor, Wage and Hour Division, at 1-866-4USWAGE or www.youthrules.dol.gov.

Revocation of Permit: A permit may be revoked by the school issuing officer if: (1) poor school attendance results in a level of schoolwork lower than that prior to beginning employment or (2) the Michigan Department of Labor and Economic Opportunity/U.S. Department of Labor informs the school of an employer’s violations of state or federal laws or regulations. Any minor who has a permit revoked shall be informed of the appeal process by the school.

File Specifics

Fact Name Details
Eligibility Minors aged 16 and 17 must complete the CA-7 form to obtain a work permit unless exempted by the Youth Employment Standards Act (P.A. 90 of 1978).
Employer Requirement Employers must have a completed work permit form on file before a minor starts working.
Supervision Competent adult supervision is required for all minors while they are working.
Return of Permit Employers must return the work permit to the issuing officer upon the termination of the minor’s employment.
Work Hour Limits Minors can work a maximum of 24 hours per week when school is in session and 48 hours when not in session.
Issuing Officer The work permit is issued by a school district's chief administrator or an authorized representative.
Hazardous Work Restrictions Minors cannot be employed in hazardous occupations that could harm their health or well-being.
Revocation of Permit A permit may be revoked if a minor's school attendance declines or if there are violations of labor laws.
Governing Laws The Michigan Youth Employment Standards Act (P.A. 90 of 1978) and the Federal Fair Labor Standards Act govern the work permit regulations.

How to Use Michigan Permit

Filling out the Michigan Permit form requires careful attention to detail to ensure that all necessary information is provided. Once the form is completed, it will need to be submitted to the appropriate issuing officer for verification and approval. Follow these steps to fill out the form accurately.

  1. Begin with Section I, which is for the minor applicant. Enter the Name of Minor, Address, City, and ZIP.
  2. Fill in the Age, Date of Birth, and the Last Four Digits of Contact Telephone Number.
  3. Indicate if the application is submitted electronically by checking Yes or No.
  4. Provide the Social Security Number of the minor.
  5. List the Name of School the minor currently attends or last attended, along with its Address, City, and ZIP.
  6. Indicate the Last Grade Completed and the Type of Business where the minor will work.
  7. Check the appropriate box for School Status: in school, home schooled, online/cyber/virtual, or not attending.
  8. Enter the Name of Parent/Guardian and provide their Telephone and optional Email Address.
  9. Proceed to Section II, where the employer completes the information. Fill in the Name of Business, Address, City, and ZIP.
  10. Specify the Earliest Starting Time and Latest Ending Time for the minor's work schedule.
  11. Indicate the Hours per Day and the Number of Days per Week the minor will work.
  12. Enter the Total Hours of Employment per Week, ensuring it complies with regulations.
  13. Provide the Applicant’s Job Title and Hourly Wage.
  14. List the Job Duties/Tasks the minor will perform and any Equipment/Tools to be used.
  15. Indicate if the minor will be working under an existing hours deviation by checking Yes or No.
  16. Have the employer sign and date the form in Section II.
  17. Move to Section III, where the issuing officer must complete the certification. This includes verifying the minor's age and job compliance.
  18. The issuing officer will sign and date the form, and provide their Name, Title, Address, City, State, ZIP, and Telephone Number.
  19. Finally, the minor must return the completed form to the employer before starting work.

Your Questions, Answered

What is the Michigan Permit form CA-7, and who needs it?

The Michigan Permit form CA-7 is a combined offer of employment and work permit specifically designed for minors aged 16 and 17. This form is essential for any minor who wishes to work, as it ensures compliance with the Youth Employment Standards Act. Minors must obtain this permit unless they are specifically exempted. The CA-7 allows them to be employed only by the employer and at the location specified on the form. It remains valid until the minor turns 18 or graduates, provided they continue working for the same employer.

How do I complete the CA-7 Work Permit form?

Completing the CA-7 Work Permit form involves several steps:

  1. The minor fills out Section I, providing personal details such as name, address, age, and school information.
  2. The employer completes Section II, detailing the job offer, including hours and responsibilities.
  3. The issuing officer verifies the minor's age and compliance with laws before signing Section III.
  4. Finally, the minor must return the completed form to the employer before starting work.

It's crucial to ensure that all sections are filled out accurately to avoid delays in the permit's approval.

What are the employer's responsibilities when hiring minors?

Employers have several key responsibilities when hiring minors:

  • Maintain a completed work permit form at the minor's worksite before they begin working.
  • Provide competent adult supervision at all times.
  • Comply with all federal, state, and local laws, including nondiscrimination policies.
  • Return the work permit to the issuing officer upon termination of the minor's employment.
  • Keep any approved hours deviation and parental consent on file at the worksite.

Failure to meet these responsibilities can lead to legal issues and penalties.

What should I do if my work permit is revoked?

If your work permit is revoked, it's important to understand the reasons behind the decision. Common reasons include poor school attendance or violations of labor laws by the employer. The school issuing officer will inform you of the revocation and the appeal process. You have the right to contest the revocation if you believe it was unjust. Be proactive in seeking guidance from your school or the issuing officer to navigate the appeal process effectively.

Common mistakes

  1. Inaccurate Personal Information: One common mistake is providing incorrect or incomplete personal details. This includes the minor's name, address, age, or date of birth. Such inaccuracies can lead to delays or even denial of the work permit.

  2. Failure to Obtain Parent/Guardian Consent: Many applicants overlook the necessity of including a parent or guardian's signature. This consent is crucial, as it confirms that the parent is aware of the minor's employment.

  3. Omitting School Information: Applicants often forget to provide details about their current or last attended school. This section is vital for the issuing officer to verify the minor's eligibility for a work permit.

  4. Not Checking Employment Status: Failing to accurately indicate whether the minor is in school, home-schooled, or not attending can lead to complications. Each status has different implications for work hours and eligibility.

  5. Ignoring Job Details: Some applicants neglect to include specific job duties or tasks to be performed. This information is necessary for compliance with state and federal regulations regarding minor employment.

  6. Neglecting to Review the Form: Lastly, many individuals submit the form without thoroughly reviewing it. This oversight can result in missing signatures, incorrect information, or failure to attach required documentation.

Documents used along the form

The Michigan Permit form, specifically the Combined Offer of Employment and Work Permit/Age Certificate CA-7, is essential for minors aged 16 and 17 seeking employment. Alongside this permit, several other forms and documents are often required to ensure compliance with state and federal labor laws. Below is a list of these documents, each serving a specific purpose in the employment process.

  • Employer's Offer of Employment Letter: This document outlines the terms of employment, including job title, responsibilities, and wage. It serves as a formal agreement between the minor and the employer.
  • Parent/Guardian Consent Form: Required for minors, this form ensures that a parent or guardian approves of the minor's employment. It includes contact information and signatures, affirming parental support.
  • Proof of Age Documentation: Employers must verify the minor's age. Acceptable documents include a birth certificate, driver's license, or school record. This verification is crucial for compliance with labor laws.
  • School Attendance Verification: This document confirms the minor's current school status, whether they are enrolled, home-schooled, or attending online classes. It helps determine eligibility for work hours.
  • Michigan Hours Deviation Request Form: If an employer seeks to allow a minor to work outside the standard hours defined by law, they must submit this form to the Michigan Wage and Hour Division for approval.
  • Workplace Safety Guidelines: Employers must provide information regarding workplace safety and health regulations. This document educates minors about potential hazards and safety protocols in their work environment.

These forms and documents collectively ensure that the employment of minors is conducted within legal frameworks, promoting a safe and compliant work experience. Proper completion and submission of these documents are essential for both the employer and the minor to adhere to Michigan's labor laws.

Similar forms

The Michigan Permit form shares similarities with the Federal Employment Eligibility Verification Form (I-9). Both documents serve as verification tools to confirm the identity and eligibility of individuals to work. The I-9 requires employers to verify the identity and employment authorization of their employees, similar to how the Michigan Permit ensures that minors are legally allowed to work based on age and school status. Both forms necessitate the collection of personal information and must be completed before the individual begins work, ensuring compliance with legal employment standards.

Another document comparable to the Michigan Permit is the Child Labor Work Permit used in various states. Like the Michigan Permit, this document is designed to protect minors in the workforce by regulating their working hours and conditions. It requires information about the minor, the employer, and the nature of the work. Both permits aim to ensure that minors are not subjected to hazardous work environments and that their employment does not interfere with their education.

The Social Security Administration’s Form SS-5, which is used to apply for a Social Security number, is also similar. This form collects personal information, including the applicant's name, age, and citizenship status. Like the Michigan Permit, the SS-5 is essential for legal employment in the U.S., as a Social Security number is required for tax reporting and benefits. Both documents require verification of identity and may involve parental consent for minors.

The Application for Employment, often used by employers during the hiring process, bears resemblance to the Michigan Permit. Both documents gather essential information about the applicant, including their name, contact details, and employment history. The Application for Employment typically assesses the candidate’s qualifications, while the Michigan Permit focuses on legal compliance regarding age and work eligibility. Each document plays a crucial role in the employment process, ensuring that all necessary information is collected prior to hiring.

Similarly, the Occupational Safety and Health Administration (OSHA) training records serve a comparable purpose in ensuring safety compliance for young workers. While the Michigan Permit focuses on age and work eligibility, OSHA training records document that employees, including minors, have received necessary safety training for their specific job duties. Both documents aim to protect the welfare of young workers by ensuring they are informed and prepared for their roles.

The Certificate of Age, often required for minors seeking employment, is another document akin to the Michigan Permit. This certificate verifies a minor's age to ensure compliance with labor laws. Like the Michigan Permit, it is crucial for employers to confirm that they are hiring individuals who meet the legal age requirements for employment. Both documents serve to uphold labor standards and protect minors in the workforce.

Additionally, the Worker’s Compensation Claim Form can be seen as similar in its protective nature. While the Michigan Permit focuses on work eligibility, the Worker’s Compensation Claim Form is designed to protect employees, including minors, in the event of a workplace injury. Both documents emphasize the importance of safety and compliance in the workplace, ensuring that workers are safeguarded under applicable laws and regulations.

Lastly, the Employment Standards Act documentation in various states aligns with the Michigan Permit in its regulatory function. This legislation outlines the rights and responsibilities of employers and employees, including those related to the employment of minors. Like the Michigan Permit, these documents are intended to ensure that minors are treated fairly and protected from exploitation in the workplace.

Dos and Don'ts

When filling out the Michigan Permit form, it's essential to follow specific guidelines to ensure the process goes smoothly. Here’s a list of things you should and shouldn't do:

  • Do type or print clearly using an ink pen.
  • Do provide accurate information about the minor's age and school status.
  • Do ensure that the employer completes their section before submission.
  • Do return the completed form to the employer before starting work.
  • Don't leave any required fields blank.
  • Don't forget to include the parent or guardian's contact information.
  • Don't submit the form without the employer's signature.
  • Don't ignore the requirements for adult supervision and compliance with laws.

Following these guidelines can help prevent delays and ensure that the work permit is issued correctly. Always double-check your information before submitting the form.

Misconceptions

Understanding the Michigan Permit form is crucial for both minors and employers. Here are ten common misconceptions about the form:

  1. Minors can work without a permit. Many believe that minors can start working without a permit. In Michigan, a completed work permit is required before a minor begins any employment.
  2. All employers are exempt from completing the permit. Some think that certain employers do not need to fill out the permit. However, every employer must have a completed work permit on file for each minor they employ.
  3. Parental consent is optional. There is a misconception that parental consent is not necessary. In reality, parental or guardian consent is required for minors to obtain a work permit.
  4. Work permits are valid indefinitely. Some people believe that once a work permit is issued, it remains valid forever. In fact, work permits are only valid until the minor turns 18 or graduates, provided they continue to work for the same employer.
  5. Minors can work any hours they want. It is a common myth that minors can choose their own work hours. There are strict limits on the number of hours they can work, especially when school is in session.
  6. Employers can disregard the permit after hiring. Some employers think they can ignore the permit once the minor starts working. However, employers must return the permit to the issuing officer upon termination of the minor’s employment.
  7. Only certain schools can issue permits. Many believe that only public schools can issue work permits. In fact, any authorized issuing officer from a school district, including nonpublic schools, can issue a permit.
  8. All minors are treated the same under the law. There is a misconception that all minors have the same employment rights. However, specific regulations apply based on age, school status, and the type of job.
  9. Employers can hire minors for hazardous jobs. Some think that minors can work in any job. In reality, minors are prohibited from working in hazardous occupations that could jeopardize their health or safety.
  10. Employers can apply for hours deviations freely. There is a belief that employers can easily apply for deviations in work hours. While they can apply, such deviations require approval from the Michigan Wage and Hour Division.

Understanding these misconceptions can help ensure compliance with Michigan's youth employment laws, protecting both minors and employers.

Key takeaways

Key Takeaways for Filling Out and Using the Michigan Permit Form

  • The employer must have a completed work permit form on file before the minor begins work.
  • Minors aged 16 and 17 need a work permit to be employed, which is valid until they turn 18 or graduate, provided they remain with the same employer.
  • Employers must comply with all federal, state, and local laws, including providing competent adult supervision and maintaining records for inspection.
  • The issuing officer is responsible for verifying the minor's age and ensuring compliance with laws before signing off on the work permit.