Ohio Work Permit Procedures - Application for Minor Work Permit 3331.02 - ORC

Sep 29, 2026

Ohio work-permit procedures for students require issuance of a minor work permit through the high school district of attendance. The process includes completing the Application for Minor Work Permit with student and parent/guardian signatures, having the employer complete a Pledge of Employer form, and submitting a signed Physician’s Certificate. Proof of age must be provided via documents such as a driver’s license or birth certificate. Completed forms must be returned, with an extra signed copy kept in the PLCC front office.

LanguageEnglish

CategoryExam

FormatPDF

Pages3

Reading Time8 min

AccessFree to download

Ohio Work Permit Procedures

Required Forms and Signatures

Proof of Age and Physician Certificate

Submission, Employer Details, and Certifications

Ohio Work Permit Procedures Students who will be working in the State of Ohio must be issued a work permit from the high school district in which they attend. Please follow the procedures listed below: 1. The Application for Minor Work Permit is to be filled out by the student and signed by a parent and guardian. 2. Your Employer will complete the Pledge of Employer form. 3. The Physician’s Certificate for Minor Work Permit must be filled out and signed by your doctor. If you have a sports physical for this school year, we will accept a copy of it from your high school. 4. Proof of Age document is required. This could include a driver’s license or birth certificate. The student must return the completed forms and sign the original work permit and take it to their employer. Also, an extra signed copy along with the application will remain in the front office at PLCC. Contact Miss. Randall at PLCC with [any questions at 330-896-8276 or VRandall@plcc.edu](any questions at 330-896-8276 or VRandall@plcc.edu) APPLICATION FOR MINOR WORK PERMIT 3331.02 ORC 4109.02 ORC |
STUDENT / APPLICANT INFORMATION | | | --- | --- | Name of Student / Applicant in full: Sex: Grade Level: Proof of Age (Type of document): Address of Student /Applicant: Age: Date of Birth: Physician’s certificate: Submitted with this application Valid physician’s certificate on file School District: Building: Parent or Guardian: Parent or Guardian Telephone Number: Address of Parent or Guardian: Date Signed THE NUMBER OF HOURS OR DAYS AND THE TIMES DISPLAYED BELOW OR ON THE FINAL PERMIT ARE FOR REGULATORY PURPOSES ONLY AND ARE NOT TO BE CONSTRUED IN ANY WAY OR MANNER TO BE INDICATIVE OF A CONTRACT BETWEEN AN EMPLOYER AND THE EMPLOYEE. Name of Office Address of Office I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE ABOVE STATEMENTS ARE TRUE AND THAT THE MINOR NAMED ABOVE WILL WORK WITH MY APPROVAL. I HEREBY CERTIFY THAT I HAVE EXAMINED AND APPROVED THE ABOVE NOTED DOCUMENTARY PROOF OF AGE. X X Signature of Parent or Guardian Superintendent / Chief Adminstrative Officer / Designated Issuing Officer |
PLEDGE OF EMPLOYER | | | --- | --- | Name of Firm: Address of Student /Applicant’s Place of Employment, Job Site, or Work Location: Telephone Number at Minor’s Work Location: Specific Nature of Employment: Employer’s Tax ID Number (9 digits) . THIS FIELD IS MANDATORY No. of Days Per Week: Hours Per Day: Starting Time: Quitting Time: 1 2 3 4 IF MINOR WORKS A VARIED OR IRREGULAR SCHEDULE, ENTER“REPRESENTATIVE” TIMES IN ITEMS 1 THRU 4. ARE HOURS TO BE WORKED WITHIN THE LIMITS OF THE LAW? YES NO THE UNDERSIGNED HEREBY AGREES TO EMPLOY THE ABOVE NAMED CHILD IN ACCORDANCE WITH LAWS REGULATING THE EMPLOYMENT OF MINORS. THE EMPLOYER FURTHER AGREES TO GIVE MINOR A COPY OF THE WAGE AGREEMENT IN ACCORDANCE WITH SEC. 4109.42 ORC. THE EMPLOYMENT WILL BECOME EFFECTIVE AS SOON AS THE NECESSARY AGE AND SCHOOLING CERTIFICATE IS VERIFIED BY THE EMPLOYER. THE EMPLOYER AGREES TO PERMIT THE CHILD TO ATTEND PART TIME SCHOOL WHEN SUCH IS AVAILABLE AND TO NOTIFY THE SCHOOL WITHIN FIVE DAYS AFTER THE EMPLOYMENT OF THE CHILD TERMINATES X Signature of person authorized to sign for employer Address of employer if different from minor’s place of employment LAWS COM 0000 (Replaces Ohio Form II & III) Date signed Telephone number E-Mail address (Optional- if employer wants notification in case of revocation) PHYSICIAN’S CERTIFICATE FOR MINOR WORK PERMIT 3331.02 ORC 4109.02 ORC |
PHYSICIAN’S APPROVAL | | | | | | | | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | | | | | | | | | | | | | | | | | | THE UNDERSIGNED HEREBY CERTIFIES THAT THEY HAVE THOROUGHLY EXAMINED THE ABOVE NAMED APPLICANT WHO WAS BORN ON THE DATE STATED ABOVE, AND WHO MEETS THE DESCRIPTION GIVEN HEREON, AND THAT SAID

FAQs

Who must sign the Application for Minor Work Permit in Ohio?

The application must be filled out by the student and signed by a parent and guardian.

What must be completed by the employer?

The employer must complete the Pledge of Employer form and sign the appropriate authorization line.

What documents are required besides the application and employer pledge?

A Physician’s Certificate for Minor Work Permit must be filled out and signed by the doctor, and proof of age is required (for example, a driver’s license or birth certificate).

Sep 29, 2026

Upload by percent12345