Work Permit Application Form The Children and Young Persons Act 1933 / 1963 (as amended) Essex County Council Byelaws 1998 To be completed by the Employer Company Name: Line Manager’s Name: Address: Town/City: County: Postcode: Tel: Email: Business Category: Agriculture/Horticulture Distribution Office Animal Care/Animal Leisure Education Retail / Shop / Newsagent Care Health and Beauty Sports and Leisure Cleaning Hospitality Child’s Name: Date of Birth: Male Female Address: Town/City: County: Post code: Child’s School: Place of Employment: (If different form above) Main tasks of employment: Date started or due to start: Employment Type: Animal Welfare Assistant Gardener/Landscaper Shop Assistant Care Assistant General Assistant Sports Assistant/Coach Child Care Assistant Hairdressing Assistant Stable Hand Clerical Assistant Kitchen Duties/Washing Up Waiter Waitress Domestic Duties/Cleaning Leaflet Distribution Farm Worker Newspaper Delivery Schedule of Employment (1 hour break required after 4 hours continuous work) During School Term During School Holidays 12 hrs Maximum Max 25 hrs ages 13/14 35 hrs age 15/16 – From To From To From To From To Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Work Permit Application Form The Children and Young Persons Act 1933 / 1963 (as amended) Essex County Council Byelaws 1998 To be completed by the Employer Company Name: Line Manager’s Name: Address: Town/City: County: Postcode: Tel: Email: Business Category: Agriculture/Horticulture Animal Care/Animal Leisure Care Cleaning Distribution Education Health and Beauty Hospitality Office Retail / Shop / Newsagent Sports and Leisure Child’s Name: Date of Birth: Male Female Address: Town/City: County: Post code: Child’s School: Place of Employment: (If different form above) Main tasks of employment: Date started or due to start: Employment Type: Animal Welfare Assistant Care Assistant Child Care Assistant Clerical Assistant Domestic Duties/Cleaning Farm Worker Gardener/Landscaper General Assistant Hairdressing Assistant Kitchen Duties/Washing Up Leaflet Distribution Newspaper Delivery Shop Assistant Sports Assistant/Coach Stable Hand Waiter Waitress Schedule of Employment (1 hour break required after 4 hours continuous work) During School Term 12 hrs Maximum During School Holidays Max 25 hrs ages 13/14 – 35 hrs age 15/16 From To From To From To From To Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Work_Permit_Application_Form(WORD_40KB).docx