© Clark County Family Law Self-Help Center Order For Permission to Work
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ORDR
Parent’s Name: ______________________
Address: ___________________________
City, State, Zip: _____________________
Phone: ____________________________
Email: ____________________________
Self-Represented
DISTRICT COURT
JUVENILE DIVISION
CLARK COUNTY, NEVADA
In the matter of (child’s full name):
_
__________________________________,
Child’s Date of Birth: ________________
A Minor Being ______ Years of Age.
CASE NO.: D___________________
DEPT.: A
ORDER FOR PERMISSION TO WORK
This matter having come before the Court pursuant to the ex parte application for
permission to work submitted by (your name) ____________________________________
requesting that (child’s name) ___________________________________, a child under 14
years of age, be employed, and the Court having determined that the work will not be dangerous
or injurious to the life or limbs, or injurious to health or morals, of the minor, and having
determined that the work will be in the best interests of the minor;
IT IS HEREBY ORDERED that the minor shall be permitted to be employed as a (title
of position) ______________________________________ by (name and address of employer)
____________________________________________________________________________.
IT IS FURTHER ORDERED that the following conditions apply to minor’s
employment:
a. The minor shall be able to work a maximum of three (3) hours on a school day,
Monday through Friday, and a maximum of eighteen (18) hours during a school week;
© Clark County Family Law Self-Help Center Order For Permission to Work
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b. The minor shall be able to work a maximum of eight (8) hours a day on a non-
school day, and a maximum of forty (40) hours in a non-school week;
c. The employment cannot conflict with the hours in which public schools of the
Clark County School District are in session unless the child has been excused from attendance
by the Clark County School District;
d. The minor shall work only between the hours 7:00 a.m. and 7:00 p.m. except
from June 1 through Labor Day, when the child may work between the hours of 7:00 a.m. and
9:00 p.m.
e. The minor shall not work in any capacity that violates federal or state law or in
any occupation that has been declared hazardous by the Secretary of Labor for the United
States.
f. Other: ___________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
DATED this______ day of _____________________, 20_____.
DISTRICT COURT JUDGE
Respectfully Submitted:
Your Signature:
Printed Name: