Fillable Iowa Child Labor Permit Instructions (Office of the Chief Information Officer)

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Iowa Child Labor Permit Instructions (Office of the Chief Information Officer)

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Iowa Child Labor Permit Instructions
1. The minor completes and signs the first section of the permit.
minors 14 or 15 years old must have a work permit
minors 16 or 17 years old are not required to have a permit
2. A parent completes and signs the second section of the permit.
3. Give the original signed work permit to the employer with one of the following proof of age:
driver’s instruction permit
certified birth certificate issued by a government agency
certified baptismal record showing date and place of birth and place of minor's baptism
federal identification such as a Green Card, Visa, I-99 or Passport
physician's certification of minor’s age – print form from www.iowachildlabor.gov
4. A representative of the employer must:
complete the “employer” information
complete and sign the “employer representative” information
review the Iowa Child Labor Law sheet (page 3) to determine that all duties and hours are permitted
examine the proof of age and make a copy for your records
review the permit to make sure all boxes have been completed and signed where necessary
retain the original work permit and a copy of the proof of age at the location where the minor will be
working – do not send a copy of the proof of age with the permit
5. Within 3 days of the minor starting work the employer must submit a copy to Iowa Division of Labor – Child
Labor by one of the following methods:
Email (iachildlabor@iwd.iowa.gov
) - An autoreply will be sent as acknowledgment.
Fax (515-725-7957) - Retain transmittal as proof of submission.
Mail (address below) - An email will be sent confirming receipt.
Permits must be filled out in its entirety, a form submitted incomplete, inaccurate or illegible is invalid.
If you have any questions, please contact:
Iowa Division of Labor
Child Labor
Mailing address: 1000 East Grand Avenue, Des Moines, IA 50319-0209
Physical address: 150 Des Moines Street, Des Moines, IA 50309
Phone: 515-242-5870
Fax: 515-725-7957
Email:
iachildlabor@iwd.iowa.gov
Website: www.iowachildlabor.gov
400-001
03.26.2018
Equal Opportunity Employer/Program
Auxiliary aids and services are available upon request to individuals with disabilities.
For deaf and hard of hearing, use Relay 711.
Parent/Guardian/Custodian/Head of a Migrant Family
Last name
First name
Email
Address
State
Zip
Parent’s signature
Date
Phone number
Minor – 14 and 15 year olds (16 and 17 year olds are not required to fill out a permit)
Last name
First name
Middle
initial
Last school
grade completed
Gender
Male Female
Age
Date of birth
Place of birth (city and state)
Address
City
State
Zip
Minor’s signature
Date
Phone number
This form serves as both the application and the permit. The employer must submit a copy of the completed permit by mail,
email or fax within 3 days of the minor’s start date. Retain this original permit with a copy of the minor’s proof of age at the
location where the minor will be working. Do not send a copy of the minor’s proof of age with the permit.
Employer Representative
Name
Title
Phone number
Email
Minor’s start date
Check the proof of minor’s age provided
Driver’s Instruction Permit Certified Birth Certificate Federal ID such as a Green Card, Visa, I-99 or Passport
Certified Baptismal Record Physician’s Certification (form located at www.iowachildlabor.gov
)
By signing below, I agree that I have examined the proof of minor’s age, retained a copy of the minor’s proof of age and the
original work permit and certify that the information on this form is true and accurate to the best of my knowledge. The
employer shall comply with child labor law.
Employer Representative’s Signature Date
Any form submitted incomplete, inaccurate or illegible is invalid.
Employer
Business name
Type of business
Phone number
Fax number
Address where minor will be working
City
State
Zip
Mailing address (if different than where minor is working)
City
State
Zip
FOR OFFICE USE ONLY
Date Received:
Received by: Email
Fax
US Mail
Equal Opportunity Employer/Program
Auxiliary aids and services are available upon request to individuals with disabilities.
For deaf and hard of hearing, use Relay 711.
400-002
06.21.2019
Iowa Division of Labor
Child Labor
Mailing address: 1000 East Grand Avenue, Des Moines, IA 50319-0209
Physical address: 150 Des Moines Street, Des Moines, IA 50309 (Fed Ex/UPS)
Phone: 515-242-5870
Fax: 515-725-7957
iachildlabor@iwd.iowa.gov
www.iowachildlabor.gov
Iowa Child Labor Permit
1. Occupations in or about plants or
establishments manufacturing or storing
explosives or articles containing explosive
components.
2. Occupations of motor vehicle driver and
helper.
3. Logging occupations and occupations in the
operation of any sawmill, lath mill, shingle mill, or
cooperage-stock mill.
4. Occupations involved in the operation of
power-driven woodworking machines.
5. Occupations involving exposure to radioactive
substances and to ionizing radiations.
6. Occupations involved in the operation of
elevators and other power-driven hoisting
apparatus.
1. Retail, food service, and gasoline service
establishments.
2. Office and clerical work, including operation of
office machines.
3. Cashiering, selling, modeling, art work, work in
advertising departments, window trimming and
comparative shopping.
4. Price marking and tagging by hand or by
machine, assembling orders, packing and shelving.
5. Bagging and carrying out customers’ orders.
6. Errand and delivery work by foot, bicycle, and
public transportation.
7. Clean-up work, including the use of vacuum
Persons fourteen and fifteen years of age may be employed or permitted to work in the following occupations:
A person over ten and under sixteen years of age cannot be employed, with or without compensation, in street occupation or migratory labor as defined in
section 92.1 unless the person holds a child labor work permit issued pursuant to this chapter.
Notwithstanding section 92.7, a person with a permit to engage in migratory labor shall only work between 5:00am and 7:30pm from Labor Day through June 1,
and between 5:00am and 9:00pm for the remainder of the year.
Notwithstanding section 92.7, a person with a permit to engage in street occupations shall only work between 4:00am and 7:30pm, when local public schools
are in session and between 4:00am and 8:30pm for the remainder of the year.
A person under sixteen years of age shall not be employed with or without compensation, except as provided in sections 92.2 and 92.3, before the hour of 7:00
a.m. or after 7:00 p.m., except during the period from June 1 through Labor Day when the hours may be extended to 9:00 p.m. If such person is employed
for a period of five hours or more each day, an intermission of not less than thirty minutes shall be given. Such a person shall not be employed for more than
eight hours in one day, exclusive of intermission, and shall not be employed for more than forty hours in one week. The hours of work of persons under sixteen
years of age employed outside school hours shall not exceed four in one day or twenty-eight in one week while school is in session.
1. Persons fourteen and fifteen years of age may
not be employed in:
a. Any manufacturing occupation.
b. Any mining occupation.
c. Processing occupations, except in a retail, food
service, or gasoline service establishment in those
specific occupations expressly permitted under the
provisions of section 92.5.
d. Occupations requiring the performance of any
duties in workrooms or work places where goods
are manufactured, mined, or otherwise processed,
except to the extent expressly permitted in retail,
food service, or gasoline service establishments
under the provisions of section 92.5.
e. Public messenger service.
f. Operation or tending of hoisting apparatus or
of any power-driven machinery, other than office
machines and machines in retail, food service, and
gasoline service establishments which are
specified in section 92.5 as machines which such
minors may operate in such establishments.
Iowa Child Labor Law (Iowa Code Chapter 92)
cleaners and floor waxers, and maintenance of
grounds.
8. Kitchen work and other work involved in
preparing and serving food and beverages,
including the operation of machines and devices
used in the performance of such work, including
but not limited to, dishwashers, toasters, dumb-
waiters, popcorn poppers, milk shake blenders,
and coffee grinders.
9. Work in connection with motor vehicles and
trucks if confined to the following:
a. Dispensing gasoline and oil.
b. Courtesy service.
c. Car cleaning, washing and polishing.
Nothing in this subsection shall be construed to
include work involving the use of pits, racks or lifting
apparatus or involving the inflation of any tire
mounted on a rim equipped with a removable
retaining ring.
10. Cleaning vegetables and fruits, and wrapping,
sealing, labeling, weighing, pricing and stocking
goods when performed in areas physically separate
from areas where meat is prepared, for sale and
outside freezers or meat coolers.
11. Other work approved by the rules adopted
pursuant to chapter 17A by the labor commissioner.
g. Occupations prohibited by rules adopted
pursuant to chapter 17A by the labor
commissioner.
h. Occupations in connection with the following,
except office or sales work in connection with
these occupations, not performed on
transportation media or at the actual construction
site:
(1) Transportation of persons or property by rail,
highway, air, on water, pipeline, or other means.
(2) Warehousing and storage.
(3) Communications and public utilities.
(4) Construction, including repair.
i. Any of the following occupations in a retail,
food service, or gasoline service establishment:
(1) Work performed in or about boiler or engine
rooms.
(2) Work in connection with maintenance or
repair of the establishment, machines, or
equipment.
(3) Outside window washing that involves
working from window sills, and all work requiring
the use of ladders, scaffolds, or their substitutes.
(4) Cooking except at soda fountains, lunch
counters, snack bars, or cafeteria serving counters,
and baking.
(5) Occupations which involve operating, setting
up, adjusting, cleaning, oiling, or repairing power-
driven food slicers and grinders, food choppers and
cutters, and bakery-type mixers.
(6) Work in freezers and meat coolers and all work
in preparation of meats for sale, except wrapping,
sealing, labeling, weighing, pricing, and stocking
when performed in other areas.
(7) Loading and unloading goods to and from
trucks, railroad cars, or conveyors.
(8) All occupations in warehouses except office
and clerical work.
2. Nothing in this section shall be construed as
prohibiting office, errand, or packaging work when
done away from moving machinery.
92.8 UNDER EIGHTEEN – OCCUPATIONS PROHIBITED
92.2 OVER TEN AND UNDER SIXTEEN YEARS OF AGE
92.5 FOURTEEN AND FIFTEEN – PERMITTED OCCUPATIONS
92.6 FOURTEEN AND FIFTEEN – OCCUPATIONS NOT PERMITTED
92.7 UNDER SIXTEEN – HOURS PERMITTED
No person under eighteen years of age shall be employed or permitted to work with or without compensation at any of the following occupations or business
establishments:
7. Occupations involved in the operation of
power-driven metal forming, punching, and
shearing machines.
8. Occupations in connection with mining.
9. Occupations in or about slaughtering and meat
packing establishments and rendering plants.
10. Occupations involved in the operation of
certain power-driven bakery machines.
11. Occupations involved in the operation of
certain power-driven paper products machines.
12. Occupations involved in the manufacture of
brick, tile and related products.
13. Occupations involved in the operation of
circular saws, band saws and guillotine shears.
14. Occupations involved in wrecking, demolition
and shipbreaking operations.
15. Occupations involved in roofing operations.
16. Excavation occupations.
17. In or about foundries; provided that office,
shipping, and assembly area employment shall not
be prohibited by this chapter.
18. Occupations involving the operation of
laundry, dry cleaning, or dyeing machinery.
19. Occupations involving exposure to lead fumes
or its compounds, or to dangerous or poisonous
dyes or chemicals.
20. Occupations involving the transmission,
distribution, or delivery of goods or messages
between the hours of 10:00 p.m. and 5:00 a.m.
21. Occupations prohibited by rules adopted
pursuant to chapter 17A by the labor commissioner.
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Iowa Child Labor Permit Instructions (Office of the Chief Information Officer)

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Completed 13 August 2020

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