Free Michigan Permit Template in PDF
The Michigan Permit form, officially known as the Combined Offer of Employment and Work Permit/Age Certificate CA-7, is essential for minors aged 16 and 17 seeking employment. This form must be completed before a minor can start working, ensuring that both the employer and the minor meet specific legal requirements. Employers are required to maintain a completed work permit on file and must provide adult supervision for the minor during their employment. Additionally, employers must comply with various laws, including those related to non-discrimination based on race, gender, or disability. The form consists of several sections that need to be filled out by the minor applicant, the employer, and a school issuing officer. Information required from the minor includes their name, age, school status, and job details, while the employer must provide specifics about the job, including hours and duties. The issuing officer plays a critical role in verifying the minor's age and ensuring compliance with state and federal regulations. The CA-7 work permit is valid until the minor turns 18 or graduates, as long as they remain with the same employer. Furthermore, there are strict regulations regarding the types of jobs minors can hold and the hours they may work, ensuring their safety and well-being in the workplace.
Form Example
State of Michigan
Combined Offer of Employment and Work Permit/Age Certificate
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: |
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Address: |
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Age: |
Date of Birth |
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Last Four Digits of |
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Contact Telephone Number for |
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Application Submitted Electronically: [ ] Yes [ ] No |
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Month/Day/Year: |
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Social Security Number: |
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Minor: |
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If yes, provide email address to return approved form: |
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Name of School (present or last attended): |
Address: |
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Last Grade Completed: |
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Type of Business (e.g., fast food, |
retail sales): |
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School Status (check one): [ ] in school [ ] home schooled [ |
] online/cyber/virtual |
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] Not Attending |
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Name of Parent/Guardian (circle one): |
Parent/Guardian Telephone: |
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Parent/Guardian Email Address (optional): |
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Section II: To be Completed by the Employer - Offer of Employment |
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Name of Business: |
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Address: |
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City: |
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Earliest Starting Time a.m./p.m.: |
Latest Ending Time |
a.m./p.m.: |
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Hours per Day: |
Number of Days per |
Week: |
Total Hours of Employment per |
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Not more than 6 per week |
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No more than 24 hours when school is |
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in session and 48 hours when school is |
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not in session |
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Applicant’s Job Title: |
Hourly Wage: |
Job Duties/Tasks to be Performed by Minor: |
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Equipment/Tools to be Used by Minor: |
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Will the minor be working under an existing hours deviation granted by the Michigan Wage and Hour Division? [ |
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[ ] Yes |
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If yes, attach a copy of the approved Michigan hours deviation and retain parent/guardian consent at the worksite. |
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Signature of Employer: |
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Title: |
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Telephone: |
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Date: |
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(x) |
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Section III: To be Completed by School’s Issuing Officer – Must be Signed by the Issuing Officer to be Valid |
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Number of Work Hours |
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This is to certify that: |
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Evidence of Age Confirmed by (issuing officer checks one): |
Per Week When School |
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(1) this form was properly completed, |
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is in Session: |
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(2) listed job duties are compliant with state and federal laws and |
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] Birth Certificate |
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] Certificate of Arrival in the U.S. |
No more than |
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regulations, |
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24 hours per week |
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(3) listed hours are compliant with state and federal laws and |
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] Driver’s License |
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] Hospital Record of Birth |
Number of Work Hours |
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regulations, |
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While School Not in |
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(4) this form was signed by employer, |
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[ |
] School Record |
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] Baptismal Certificate |
Session: |
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(5) I authorize the issuance of this work permit. |
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] Other (describe) |
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No more than |
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48 hours per week |
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Name of School District: |
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Printed Name of Issuing Officer: |
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Title: |
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Address: |
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City, State, ZIP: |
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Signature of Issuing Officer: |
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Issue Date: |
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Telephone Number: |
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(x) |
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Form
Instructions for completing
Summary of Requirements
Who Needs a
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
Instructions for Completing and Issuing:
1.The Minor completes Section I of the
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
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
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
Federal Fair Labor Standards Act: For information about federal child labor provisions contact the U.S. Department of Labor, Wage and Hour Division, at
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.
Document Specs
| Fact Name | Fact Description |
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| Eligibility | The Michigan Combined Offer of Employment and Work Permit (CA-7) is specifically designed for minors aged 16 and 17 who are not exempt from the Youth Employment Standards Act (P.A. 90 of 1978). |
| Employer Requirements | Employers must have a completed work permit form on file before a minor can start working. They are also required to provide competent adult supervision at all times. |
| Work Hour Limits | Minors may work a maximum of 24 hours per week when school is in session and up to 48 hours when school is not in session. Additionally, they cannot work more than 6 days in a week. |
| Issuing Authority | The work permit is issued by the chief administrator of a school district or an authorized person. This ensures that the minor's age and employment conditions comply with state and federal laws. |
| Revocation Conditions | A work permit may be revoked if the minor has poor school attendance or if the employer violates state or federal labor laws. The minor will be informed of the appeal process in such cases. |
| Legal Compliance | Employers must adhere to all federal, state, and local laws, including nondiscrimination laws. This protects the rights of all applicants and employees regardless of their background. |
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